Elizabeth Rice Clark, LPC | |
1407 E 6th St, Washington, MO 63090-3501 | |
(314) 452-9048 | |
Not Available |
Full Name | Elizabeth Rice Clark |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1407 E 6th St, Washington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194468652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2013029337 (Missouri) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Rice Clark, LPC 1407 E 6th St, Washington, MO 63090-3501 Ph: (314) 452-9048 | Elizabeth Rice Clark, LPC 1407 E 6th St, Washington, MO 63090-3501 Ph: (314) 452-9048 |
Laurie Elizabeth Bryson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Elm Street, Suite 204, Washington, MO 63090 Phone: 314-607-6922 | |
Elizabeth Shine, LPC Counselor Medicare: Medicare Enrolled Practice Location: 901 W 14th St Ste 200, Washington, MO 63090 Phone: 636-432-1992 | |
Bonnie L Hotz, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 1703 Zero Ave, Washington, MO 63090 Phone: 636-221-8012 | |
Mr. Michael A. Ninness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 854 Lost Creek Ln, Washington, MO 63090 Phone: 636-390-3261 | |
Lucas Dieckhaus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Walnut St, Washington, MO 63090 Phone: 314-960-6720 | |
Mrs. Patricia Lynne Hewkin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Elm St, Washington, MO 63090 Phone: 314-343-8914 |