Ms Tammy A Noller, MS LPC | |
17844 E 23rd St S, Independence, MO 64057-1840 | |
(816) 254-3652 | |
(816) 254-9243 |
Full Name | Ms Tammy A Noller |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 17844 E 23rd St S, Independence, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447337472 | NPI | - | NPPES |
29310015 | Other | MO | BLUE CROSS BLUE SHIELD |
499802304 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 002473 (Missouri) | Primary |
Entity Name | Burrell, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
Mailing Address | Practice Location Address |
---|---|
Ms Tammy A Noller, MS LPC 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5000 | Ms Tammy A Noller, MS LPC 17844 E 23rd St S, Independence, MO 64057-1840 Ph: (816) 254-3652 |
Sarah Cicero, MA, CRAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3606 S Brentwood Ave, Independence, MO 64055 Phone: 816-405-5988 | |
Jameshia Sykes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Mrs. Marandi Ann Diehl, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10600 E 26th Ter S, Independence, MO 64052 Phone: 816-392-8101 | |
Paul Francis, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 N Blue Mills Rd, Independence, MO 64058 Phone: 816-866-5946 | |
Josiah David Johnson, MAADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 N Twyman Rd, Independence, MO 64058 Phone: 816-249-5420 | |
Jennifer L Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4200 Little Blue Pkwy, Suite 360, Independence, MO 64057 Phone: 816-373-9240 Fax: 816-373-9243 | |
Katrena M Smith, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 417-761-5000 Fax: 417-761-5011 |