Elaine G Childs, LPC | |
2411 Fairlawn, Carthage, MO 64836-0054 | |
(417) 359-8093 | |
(417) 359-8094 |
Full Name | Elaine G Childs |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2411 Fairlawn, Carthage, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205915576 | NPI | - | NPPES |
499805810 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 002532 (Missouri) | Primary |
Entity Name | Mcpherson Medical & Diagnostic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
Mailing Address | Practice Location Address |
---|---|
Elaine G Childs, LPC Po Box 54, Carthage, MO 64836-0054 Ph: (417) 359-8093 | Elaine G Childs, LPC 2411 Fairlawn, Carthage, MO 64836-0054 Ph: (417) 359-8093 |
Laura Jean South, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7366 County Road 180, Carthage, MO 64836 Phone: 417-793-1811 | |
Larry R. Beckett, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 Forest St, Carthage, MO 64836 Phone: 417-674-2150 | |
Scott John, ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Hazel St, Suite 201, Carthage, MO 64836 Phone: 417-237-0070 | |
Mr. Ruben Garrido-trujillo Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 E 5th St, Carthage, MO 64836 Phone: 417-499-5986 | |
Mr. Bradley C. Hunt, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Grand Ave, Carthage, MO 64836 Phone: 417-358-4265 | |
Linda Louise Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Hazel St, Suite 201, Carthage, MO 64836 Phone: 417-237-0070 |