Grace R Devenport, MED, LPC | |
1300 E Bradford Pkwy, Springfield, MO 65804-4264 | |
(417) 761-5000 | |
(417) 761-5065 |
Full Name | Grace R Devenport |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1300 E Bradford Pkwy, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841518826 | NPI | - | NPPES |
494153208 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2010006115 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
---|---|
Grace R Devenport, MED, LPC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 | Grace R Devenport, MED, LPC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 |
Mrs. Rebecca J Barratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 S Eastgate Ave, Springfield, MO 65809 Phone: 417-763-3309 Fax: 417-763-3331 | |
Mrs. Lori Renee Radford, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 E Walnut St, Springfield, MO 65806 Phone: 417-459-2117 | |
Stephanie J Robbins, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1350 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5850 | |
Brian Vega, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 E Sunshine St, Ste W-29, Springfield, MO 65804 Phone: 417-887-9950 Fax: 417-888-0226 | |
Linda L. Britt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 W Republic Rd Ste G100, Springfield, MO 65807 Phone: 417-862-8282 Fax: 417-862-8805 | |
Ms. Jessica Ann Heavin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 E Sunshine St Ste 338, Springfield, MO 65804 Phone: 417-823-8000 Fax: 417-823-9334 | |
Angie Fitzpatrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 W Elfindale St, Springfield, MO 65807 Phone: 417-864-7921 |