| Catherine L. Boling, LLC | |
|
574 State Highway 248 Ste 2 Branson MO 65616-7799 | |
| (417) 239-1389 | |
| (417) 332-8680 |
| Full Name | Catherine L. Boling, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 574 State Highway 248 Ste 2, Branson, Missouri |
| Authorized Official Name and Position | Catherine Lea Boling (OWNER/THERAPIST) |
| Authorized Official Contact | 4172395280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L. Boling, LLC 2280 W Arlington St Springfield MO 65810-2206 Ph: (417) 239-5280 | Catherine L. Boling, LLC 574 State Highway 248 Ste 2 Branson MO 65616-7799 Ph: (417) 239-1389 |
| NPI Number | 1720849243 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 4981149218 |
|---|---|
| Medicare Enrollment ID | O20240711001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720849243 | NPI | - | NPPES |
| 1790949469 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Catherine L Boling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790949469 PECOS PAC ID: 2264504901 Enrollment ID: I20080711000498 |
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