| Inez Shields Llc | |
|
203 W 11th St Lamar MO 64759-1426 | |
| (417) 667-1768 | |
| (417) 667-7382 |
| Full Name | Inez Shields Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 203 W 11th St, Lamar, Missouri |
| Authorized Official Name and Position | Valerie Ann Barnhart (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 41766717689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inez Shields Llc 203 W 11th St Lamar MO 64759-1426 Ph: (417) 667-1768 | Inez Shields Llc 203 W 11th St Lamar MO 64759-1426 Ph: (417) 667-1768 |
| NPI Number | 1043515406 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 01/17/2011 |
| Medicare PECOS PAC ID | 3476998089 |
|---|---|
| Medicare Enrollment ID | O20240305001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043515406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000175971 (Missouri) | Primary |
| Provider Name | Valerie A Barnhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720062797 PECOS PAC ID: 9537504154 Enrollment ID: I20240305001293 |
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