Melanie Henderson, LPC | |
1284 Jungermann Rd, Saint Peters, MO 63376-6966 | |
(903) 850-8924 | |
(636) 498-0050 |
Full Name | Melanie Henderson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1284 Jungermann Rd, Saint Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043450919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2018041359 (Missouri) | Primary |
Entity Name | Main Street Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710158704 PECOS PAC ID: 2062598600 Enrollment ID: O20080325000008 |
Mailing Address | Practice Location Address |
---|---|
Melanie Henderson, LPC 461 Pine Bend Dr, Wildwood, MO 63005-4937 Ph: (903) 850-8924 | Melanie Henderson, LPC 1284 Jungermann Rd, Saint Peters, MO 63376-6966 Ph: (903) 850-8924 |
Stephanie Keune, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 Parkway Drive, Bridgeway Behavioral Health, Saint Peters, MO 63376 Phone: 636-224-1163 Fax: 636-925-1443 | |
Traci A Callahan, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Spencer Rd Ste 101, Saint Peters, MO 63376 Phone: 636-477-6111 | |
Mrs. Diane Rene Appal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 Spencer Rd Ste 201, Saint Peters, MO 63376 Phone: 636-939-2550 | |
Miss Jerricah L Butler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Peters Centre Blvd Ste B, Saint Peters, MO 63376 Phone: 636-466-8497 | |
Rachel Elizabeth Gonzalez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8075 Mexico Rd, Saint Peters, MO 63376 Phone: 888-403-1071 Fax: 636-447-4394 | |
Mr. Steven Lee Hahne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1883 Lunenburg Dr, Saint Peters, MO 63376 Phone: 314-607-4587 | |
Hannah Noelle Roscow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4618 S Saint Peters Pkwy Ste D, Saint Peters, MO 63304 Phone: 501-326-1415 |