Rebekah A Freese, LCSW | |
117 N Garth Ave, Columbia, MO 65203-4103 | |
(573) 449-2581 | |
(573) 449-2583 |
Full Name | Rebekah A Freese |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 117 N Garth Ave, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427049394 | NPI | - | NPPES |
1649269622 | Other | MO | GROUP BILLING NPI |
431008405 | Other | MO | GROUP TAX I.D. |
193115 | Other | MO | BCBS I.D. |
497307504 | Medicaid | MO | |
506201904 | Other | MO | HCY MEDICAID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2004024548 (Missouri) | Primary |
Entity Name | St. Louis Behavioral Medicine Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487732335 PECOS PAC ID: 3173428638 Enrollment ID: O20031223000497 |
Mailing Address | Practice Location Address |
---|---|
Rebekah A Freese, LCSW 117 N Garth Ave, Columbia, MO 65203-4103 Ph: (573) 449-2581 | Rebekah A Freese, LCSW 117 N Garth Ave, Columbia, MO 65203-4103 Ph: (573) 449-2581 |
Mr. Gregory Len Boyt, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 N Garth Ave, Columbia, MO 65203 Phone: 573-673-7381 Fax: 573-875-8089 | |
Lindsay K Ingram, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937 | |
Elizabeth Catherine Whittom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway Ste 2f, Columbia, MO 65203 Phone: 573-214-0436 | |
Mr. Robert Alan Rucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 619-507-6911 | |
Renee Powers-scott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Lance Dr, Columbia, MO 65202 Phone: 573-999-6537 | |
Jared Torbet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Forum Blvd Ste G, Columbia, MO 65203 Phone: 573-239-9915 Fax: 573-340-1028 | |
Amy Michelle Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4304 S Bearfield Rd, Columbia, MO 65201 Phone: 573-874-8686 |