| Such Counseling LLC | |
|
223 N Main St # 209 Sikeston MO 63801-4211 | |
| (573) 621-4291 | |
| Not Available |
| Full Name | Such Counseling LLC |
|---|---|
| Speciality | Social Worker |
| Location | 223 N Main St # 209, Sikeston, Missouri |
| Authorized Official Name and Position | Jennifer Such (OWNER) |
| Authorized Official Contact | 5736214291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Such Counseling LLC 223 N Main St # 209 Sikeston MO 63801-4211 Ph: (573) 621-4291 | Such Counseling LLC 223 N Main St # 209 Sikeston MO 63801-4211 Ph: (573) 621-4291 |
| NPI Number | 1720715923 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 1658749015 |
|---|---|
| Medicare Enrollment ID | O20221116002432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720715923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Jennifer L Such |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851802078 PECOS PAC ID: 3476921834 Enrollment ID: I20221116002515 |
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