Louis Blea, PLPC | |
1500 W Ashland St, Nevada, MO 64772-1710 | |
(417) 667-2666 | |
Not Available |
Full Name | Louis Blea |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1500 W Ashland St, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548301948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2006034171 (Missouri) | Primary |
Entity Name | Brightside Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230612003054 |
Mailing Address | Practice Location Address |
---|---|
Louis Blea, PLPC 201 N Benton St, Nevada, MO 64772-1715 Ph: (417) 667-3378 | Louis Blea, PLPC 1500 W Ashland St, Nevada, MO 64772-1710 Ph: (417) 667-2666 |
Timothy L Wells, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Alma St, Nevada, MO 64772 Phone: 417-667-9697 Fax: 417-667-5737 | |
Charie Ann Sands, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-682-5757 Fax: 417-682-5757 | |
Dustan Yates Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 314-712-3411 | |
Emily Kaye Gallup, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-448-5638 | |
Shirley Willmon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 | |
Alexander Franks, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 | |
Marissa Opal Moore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 |