| Safe Harbor Counseling Of Missouri, Llc | |
|
3106 Pearl Harbor Dr Saint Ann MO 63074-3809 | |
| (314) 704-2541 | |
| Not Available |
| Full Name | Safe Harbor Counseling Of Missouri, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3106 Pearl Harbor Dr, Saint Ann, Missouri |
| Authorized Official Name and Position | Michael Mason (OWNER / LEAD THERAPIST) |
| Authorized Official Contact | 3147042541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Counseling Of Missouri, Llc 3106 Pearl Harbor Dr Saint Ann MO 63074-3809 Ph: (314) 704-2541 | Safe Harbor Counseling Of Missouri, Llc 3106 Pearl Harbor Dr Saint Ann MO 63074-3809 Ph: (314) 704-2541 |
| NPI Number | 1871358093 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 2062959216 |
|---|---|
| Medicare Enrollment ID | O20240806000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871358093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michael Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154900975 PECOS PAC ID: 0143679902 Enrollment ID: I20231206000588 |
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