Mrs Heather Renee Mathieson, PLPC | |
1 Southtowne Dr, Potosi, MO 63664-5729 | |
(573) 438-9355 | |
Not Available |
Full Name | Mrs Heather Renee Mathieson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1 Southtowne Dr, Potosi, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902676810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2023046468 (Missouri) | Primary |
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Mailing Address | Practice Location Address |
---|---|
Mrs Heather Renee Mathieson, PLPC 10079 Deer Ridge Dr, Cadet, MO 63630-9468 Ph: (573) 854-7830 | Mrs Heather Renee Mathieson, PLPC 1 Southtowne Dr, Potosi, MO 63664-5729 Ph: (573) 438-9355 |
Gregory A Roeback, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355 Fax: 573-438-7892 | |
Mr. Gary Selbert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Southtowne, Potosi, MO 63664 Phone: 573-438-3733 Fax: 573-438-0046 | |
Daeton Degrant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11569 Lick Skillet Rd, Potosi, MO 63664 Phone: 573-705-6670 | |
Jennifer Diane Kearns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 E High St, Suite 5, Potosi, MO 63664 Phone: 573-631-1516 | |
Rozanne Lynn Rawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355 | |
Mrs. Kristie Lynn Gray, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 State Highway P, Potosi, MO 63664 Phone: 573-760-6206 Fax: 573-438-6656 | |
Mary E Cooley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355 |