Titus Tubb, | |
1011 E Cherry St, Troy, MO 63379-1503 | |
(636) 224-1500 | |
Not Available |
Full Name | Titus Tubb |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1011 E Cherry St, Troy, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194288605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2019002360 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
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Titus Tubb, 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Titus Tubb, 1011 E Cherry St, Troy, MO 63379-1503 Ph: (636) 224-1500 |
Stephanie Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 91 Troy Sq Ste 101, Troy, MO 63379 Phone: 888-403-1071 | |
Alyssa Potts, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Troy Sq, Troy, MO 63379 Phone: 844-853-8937 | |
Daniel A Robb, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Travis Blvd, Troy, MO 63379 Phone: 636-219-7524 | |
Kristi Kennon-gregory, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 S Lincoln Dr, Troy, MO 63379 Phone: 636-528-1996 Fax: 636-528-1833 | |
Caroline Estes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 91 Troy Sq Ste 101, Troy, MO 63379 Phone: 888-403-1071 Fax: 636-528-2123 | |
Janet Lynn Yates, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 E Cherry St, Troy, MO 63379 Phone: 636-224-1500 Fax: 636-462-1439 |