Eddie C Melton, LPC | |
4699 N 21st St, Ozark, MO 65721-7684 | |
(417) 258-1484 | |
(417) 581-4839 |
Full Name | Eddie C Melton |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4699 N 21st St, Ozark, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679579353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2001025452 (Missouri) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Eddie C Melton, LPC Po Box 14462, Springfield, MO 65814-0462 Ph: (417) 581-4849 | Eddie C Melton, LPC 4699 N 21st St, Ozark, MO 65721-7684 Ph: (417) 258-1484 |
Diane Mary Russell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 N 21st St, Ozark, MO 65721 Phone: 417-581-4849 Fax: 417-581-4839 | |
Ms. Tara Jean Forrester, MS PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6007 N 21st St, Ozark, MO 65721 Phone: 417-581-6911 | |
Michele Mears, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 S 17th Ave, Ozark, MO 65721 Phone: 417-581-4849 | |
Mr. Brian Andrew Ouellette I, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 S Solaira St, Ozark, MO 65721 Phone: 417-413-9266 | |
Melissa Milan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 South 3rd Street, Ozark, MO 65721 Phone: 417-882-6767 | |
Mr. Benjamin France, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E Lark St, Ozark, MO 65721 Phone: 785-248-3702 | |
Mrs. Beth E Cantrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6007 N 21st St, Ozark, MO 65721 Phone: 417-581-6911 |