| Missouri Behavioral Health Counseling Associates | |
|
104 Crescent Dr Lebanon MO 65536-3301 | |
| (417) 664-4584 | |
| (417) 588-4296 |
| Full Name | Missouri Behavioral Health Counseling Associates |
|---|---|
| Speciality | Psychologist |
| Location | 104 Crescent Dr, Lebanon, Missouri |
| Authorized Official Name and Position | Sheila Jean Buie (PRESIDENT/CEO) |
| Authorized Official Contact | 4175885885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Behavioral Health Counseling Associates 104 Crescent Dr Lebanon MO 65536-3301 Ph: (417) 588-5885 | Missouri Behavioral Health Counseling Associates 104 Crescent Dr Lebanon MO 65536-3301 Ph: (417) 664-4584 |
| NPI Number | 1245774348 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Medicare PECOS PAC ID | 4082998125 |
|---|---|
| Medicare Enrollment ID | O20170308002595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245774348 | NPI | - | NPPES |
| Provider Name | John R Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033669080 PECOS PAC ID: 1254691819 Enrollment ID: I20180131000987 |
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