| St Joe Therapist Llc | |
|
1202 Village Dr Saint Joseph MO 64506-3042 | |
| (816) 237-0166 | |
| (816) 379-3751 |
| Full Name | St Joe Therapist Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1202 Village Dr, Saint Joseph, Missouri |
| Authorized Official Name and Position | Joseph M Kline (FOUNDER AND THERAPIST) |
| Authorized Official Contact | 8162370166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joe Therapist Llc 1202 Village Dr Saint Joseph MO 64506-3042 Ph: (816) 237-0166 | St Joe Therapist Llc 1202 Village Dr Saint Joseph MO 64506-3042 Ph: (816) 237-0166 |
| NPI Number | 1215662580 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0648616540 |
|---|---|
| Medicare Enrollment ID | O20240314000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215662580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph Michael Kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467962753 PECOS PAC ID: 0547591927 Enrollment ID: I20191016001925 |
| Provider Name | Kristen Kay Siler-kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043071624 PECOS PAC ID: 8820434731 Enrollment ID: I20240314001216 |
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