Doris Elliott, LPC | |
112 N Highway 5, Versailles, MO 65084 | |
(573) 378-6222 | |
Not Available |
Full Name | Doris Elliott |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 112 N Highway 5, Versailles, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275570863 | NPI | - | NPPES |
690840 | Other | MO | HEALTHLINK |
178920 | Other | MO | BLUE SHIELD/BLUE CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2000173546 (Missouri) | Primary |
Entity Name | Ssm Regional Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053368159 PECOS PAC ID: 8921917352 Enrollment ID: O20050627000074 |
Mailing Address | Practice Location Address |
---|---|
Doris Elliott, LPC Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259 | Doris Elliott, LPC 112 N Highway 5, Versailles, MO 65084 Ph: (573) 378-6222 |
Mrs. Trisha Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Jasper St, Versailles, MO 65084 Phone: 573-378-6833 Fax: 573-378-6823 | |
Raven Brooke Eckhoff, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Highway 5, Versailles, MO 65084 Phone: 573-378-6222 | |
Charlisa Martrell Stark, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Jasper St, Versailles, MO 65084 Phone: 573-378-6833 | |
Mrs. Ida Mae Suttmoller, MA LCSW CASAC Counselor Medicare: Medicare Enrolled Practice Location: 108 West Jasper, Versailles, MO 65084 Phone: 573-378-6833 Fax: 573-378-6823 |