| Titus Tubb, | |
|
1125 E Cherry St, Troy, MO 63379-1520 | |
| (636) 224-1500 | |
| Not Available |
| Full Name | Titus Tubb |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1125 E Cherry St, Troy, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194288605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2019002360 (Missouri) | Primary |
| Entity Name | Preferred Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Titus Tubb, 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Titus Tubb, 1125 E Cherry St, Troy, MO 63379-1520 Ph: (636) 224-1500 |
Stephanie Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Troy Sq Ste 101, Troy, MO 63379 Phone: 888-403-1071 | |
Alyssa Potts, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Troy Sq, Troy, MO 63379 Phone: 844-853-8937 | |
Daniel A Robb, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Travis Blvd, Troy, MO 63379 Phone: 636-219-7524 | |
Kristi Kennon-gregory, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 S Lincoln Dr, Troy, MO 63379 Phone: 636-528-1996 Fax: 636-528-1833 | |
Caroline Estes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 91 Troy Sq Ste 101, Troy, MO 63379 Phone: 888-403-1071 Fax: 636-528-2123 | |
Janet Lynn Yates, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1011 E Cherry St, Troy, MO 63379 Phone: 636-224-1500 Fax: 636-462-1439 |