Prairie J Boschulte, LPC | |
16020 Swingley Ridge Rd Ste 300, Chesterfield, MO 63017-2085 | |
(309) 431-0587 | |
Not Available |
Full Name | Prairie J Boschulte |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 16020 Swingley Ridge Rd Ste 300, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417770603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2022034550 (Missouri) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 |
Mailing Address | Practice Location Address |
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Prairie J Boschulte, LPC 3725 Sulphur Ave, Saint Louis, MO 63109-1553 Ph: (309) 431-0587 | Prairie J Boschulte, LPC 16020 Swingley Ridge Rd Ste 300, Chesterfield, MO 63017-2085 Ph: (309) 431-0587 |
Timothy Joseph Dalaviras, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15235 Brightfield Manor Dr, Chesterfield, MO 63017 Phone: 636-537-5440 | |
Mrs. Erin Elizabeth Mcbride, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 N. Outer 40 Rd., Ste 212, Chesterfield, MO 63005 Phone: 314-645-6840 | |
Mr. Thomas Bryon Lewis, M.ED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Ste 308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319 | |
Richard Hinchsliff, MAC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-779-0312 | |
John Easterling, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-394-7015 | |
Chloee Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15455 Conway Rd, Chesterfield, MO 63017 Phone: 636-744-6350 | |
Ms. Dawn C Bergman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Ste 308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319 |