Joyce Hathaway, LPC | |
11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
(314) 669-6452 | |
Not Available |
Full Name | Joyce Hathaway |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11042 Manchester Rd, Kirkwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831647809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2015028807 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 2015028807 (Missouri) | Primary |
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 |
Mailing Address | Practice Location Address |
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Joyce Hathaway, LPC 1510 Gregg Ave, Saint Louis, MO 63139-3004 Ph: (630) 788-5839 | Joyce Hathaway, LPC 11042 Manchester Rd, Kirkwood, MO 63122-1244 Ph: (314) 669-6452 |
Mr. Glennon Charles Doherty, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S Clay Ave, Apt. 3, Kirkwood, MO 63122 Phone: 314-849-2989 | |
Camille Bruton Reinhold, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12166 Old Big Bend Rd, Suite 102, Kirkwood, MO 63122 Phone: 314-717-0190 Fax: 314-754-7275 | |
Dr. Lelia L Flagg, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 Caroline Ave, Kirkwood, MO 63122 Phone: 314-686-8728 | |
Kelsey Schumacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 439 S Kirkwood Rd Ste 208, Kirkwood, MO 63122 Phone: 314-809-8434 | |
Dr. Tammy Root, PHD, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Prospect Ave Ste S, Kirkwood, MO 63122 Phone: 314-764-3188 | |
Katie Holman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N Clay Ave Ste 200, Kirkwood, MO 63122 Phone: 314-422-7847 | |
Donna Greenlee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Prospect Ave Ste M, Kirkwood, MO 63122 Phone: 314-789-0553 Fax: 314-671-4100 |