Mick Gene Collias, | |
1003 Cottonwood Rd, Creston, IA 50801-1012 | |
(641) 782-8457 | |
Not Available |
Full Name | Mick Gene Collias |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1003 Cottonwood Rd, Creston, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003397068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Crossroads Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578531877 PECOS PAC ID: 7113817933 Enrollment ID: O20040316001449 |
Mailing Address | Practice Location Address |
---|---|
Mick Gene Collias, 1301 N Elm St Apt 2, Creston, IA 50801-1140 Ph: (636) 359-8140 | Mick Gene Collias, 1003 Cottonwood Rd, Creston, IA 50801-1012 Ph: (641) 782-8457 |
Mrs. Jill Alana Jackson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 709 Cottonwood Rd, Creston, IA 50801 Phone: 641-278-1095 Fax: 641-278-1095 | |
Mr. Jeff M Loney, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1003 Cottonwood Rd, Creston, IA 50801 Phone: 641-782-8457 Fax: 641-782-7048 | |
Rebecca I Mcguire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Cottonwood Rd, Creston, IA 50801 Phone: 641-782-8457 | |
Klisa Lange, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 E Howard St, Creston, IA 50801 Phone: 641-202-8771 | |
Mrs. Leslie Linnea Russell, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Cottonwood Rd, Creston, IA 50801 Phone: 641-782-8457 | |
Mrs. Barbara Ann Herr, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Cottonwood Rd, Creston, IA 50801 Phone: 641-782-8457 Fax: 641-782-7048 |