| Phoebe G Fullen, | |
|
1701 N Central Ave, Monett, MO 65708 | |
| (417) 236-0340 | |
| Not Available |
| Full Name | Phoebe G Fullen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1701 N Central Ave, Monett, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740838259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Clark Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801807771 PECOS PAC ID: 8527069277 Enrollment ID: O20070123000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Phoebe G Fullen, 713 Sw C Ave, Lawton, OK 73501-4311 Ph: () - | Phoebe G Fullen, 1701 N Central Ave, Monett, MO 65708 Ph: (417) 236-0340 |
Lacey Berry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Central, Monett, MO 65708 Phone: 417-235-6610 Fax: 417-476-1082 | |
Jennifer Donn Henry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1701 N Central Ave, Monett, MO 65708 Phone: 417-476-1000 | |
Amy J Cole, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N. Central, Monett, MO 65708 Phone: 417-476-1000 | |
Leina L Hoyt, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 N Lincoln Ave, Monett, MO 65708 Phone: 916-838-8234 | |
Mr. Terry King, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Euclid Ave, Monett, MO 65708 Phone: 417-773-0981 | |
Patrick Gorman, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 1701 N Central, Monett, MO 65708 Phone: 417-235-6610 Fax: 417-476-1082 | |
Kelly Frey, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Central, Monett, MO 65708 Phone: 417-235-6610 Fax: 417-476-1082 |