5cor Behavioral Health Services Limited | |
119 Ichord Ave Waynesville MO 65583-5401 | |
(912) 312-9632 | |
Not Available |
Full Name | 5cor Behavioral Health Services Limited |
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Speciality | Counselor |
Location | 119 Ichord Ave, Waynesville, Missouri |
Authorized Official Name and Position | Anna Schroeder (OFFICE MANAGER) |
Authorized Official Contact | 9123123457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5cor Behavioral Health Services Limited 144 Ridgeview Dr Saint Robert MO 65584-8614 Ph: (912) 312-3457 | 5cor Behavioral Health Services Limited 119 Ichord Ave Waynesville MO 65583-5401 Ph: (912) 312-9632 |
NPI Number | 1285489310 |
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Provider Enumeration Date | 04/22/2024 |
Last Update Date | 04/22/2024 |
Certification Date | 04/22/2024 |
Medicare PECOS PAC ID | 4981045762 |
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Medicare Enrollment ID | O20240510000696 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285489310 | NPI | - | NPPES |
Provider Name | Donald Allen Schroeder |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588092100 PECOS PAC ID: 5890136675 Enrollment ID: I20240515000616 |
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