| Difference Makers Aba Llc | |
|
1900 Eagle Crst Barnhart MO 63012-2723 | |
| (314) 210-7685 | |
| Not Available |
| Full Name | Difference Makers Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1900 Eagle Crst, Barnhart, Missouri |
| Authorized Official Name and Position | Donald Willis Mitchell (CEO/OWNER) |
| Authorized Official Contact | 3142107685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Difference Makers Aba Llc 1900 Eagle Crst Barnhart MO 63012-2723 Ph: (314) 210-7685 | Difference Makers Aba Llc 1900 Eagle Crst Barnhart MO 63012-2723 Ph: (314) 210-7685 |
| NPI Number | 1619688835 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619688835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Vitality Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2143 Birchwood Dr, Barnhart, MO 63012 Phone: 314-799-6922 | |
Saito Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1671 Marriott Ln, Barnhart, MO 63012 Phone: 314-529-1925 Fax: 314-222-0514 |