Mrs Mary Ellen Theodore, LPC - Counselor in Maryville, MO

Mrs Mary Ellen Theodore, LPC is a Counselor - Mental Health based in Maryville, Missouri. Mrs Mary Ellen Theodore is licensed to practice in Missouri (license number 002394) and her current practice location is 321 N Munn Ave, Maryville, Missouri. She can be reached at her office (for appointments etc.) via phone at (660) 582-3086.

NPI number for Mrs Mary Ellen Theodore is 1699933630 and her current mailing address is 321 N Munn Ave, Maryville, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699933630.

Contact Information

Mrs Mary Ellen Theodore, LPC
321 N Munn Ave,
Maryville, MO 64468-2146
(660) 582-3086
(660) 582-3086

Map and Direction


Healthcare Provider's Profile

Full NameMrs Mary Ellen Theodore
GenderFemale
SpecialityCounselor - Mental Health
Location321 N Munn Ave, Maryville, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699933630
  • Provider Enumeration Date: 05/27/2008
  • Last Update Date: 05/27/2008

Medical Identifiers

Medical identifiers for Mrs Mary Ellen Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699933630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 002394 (Missouri)Primary
101YP2500XCounselor - Professional 002394 (Missouri)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Ellen Theodore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Ellen Theodore, LPC
321 N Munn Ave,
Maryville, MO 64468-2146

Ph: (660) 582-3086
Mrs Mary Ellen Theodore, LPC
321 N Munn Ave,
Maryville, MO 64468-2146

Ph: (660) 582-3086

Reviews and Comments


Counselor in Maryville, MO

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Phone: 660-562-3000    Fax: 660-562-3002
Holly Marie Mcmillen, LPC
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Diane Lynn Courtney, PLPC
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Practice Location: 423 N Market St, Maryville, MO 64468
Phone: 660-562-3000    Fax: 660-562-3002

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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