| Lifestar Missouri, Smith & Associates Counseling | |
|
340 S Broadview St Cape Girardeau MO 63703-5703 | |
| (573) 382-7220 | |
| (573) 335-2698 |
| Full Name | Lifestar Missouri, Smith & Associates Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 340 S Broadview St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Travis Smith (OWNER) |
| Authorized Official Contact | 5733827220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestar Missouri, Smith & Associates Counseling 2214 Earleen St Cape Girardeau MO 63701-1812 Ph: (573) 382-7220 | Lifestar Missouri, Smith & Associates Counseling 340 S Broadview St Cape Girardeau MO 63703-5703 Ph: (573) 382-7220 |
| NPI Number | 1669803540 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669803540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2009023490 (Missouri) | Primary |
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