| Comprehensive Mental Health, Inc | |
|
200 S Kingshighway St Suite 200 Saint Charles MO 63301-1637 | |
| (636) 949-2650 | |
| (696) 949-2650 |
| Full Name | Comprehensive Mental Health, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 200 S Kingshighway St, Saint Charles, Missouri |
| Authorized Official Name and Position | Jo Ann Booth (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 6369492650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Mental Health, Inc 200 S Kingshighway St Suite 200 Saint Charles MO 63301-1637 Ph: (636) 949-2650 | Comprehensive Mental Health, Inc 200 S Kingshighway St Suite 200 Saint Charles MO 63301-1637 Ph: (636) 949-2650 |
| NPI Number | 1306026539 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/05/2007 |
| Medicare PECOS PAC ID | 0244283919 |
|---|---|
| Medicare Enrollment ID | O20050223000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306026539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004635 (Missouri) | Primary |
| Provider Name | Jo Ann Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598845877 PECOS PAC ID: 3870752264 Enrollment ID: I20120305000023 |
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