| About Face Counseling, Llc | |
|
10213 Northwood Drive Blackwell MO 63626-9521 | |
| (314) 722-5880 | |
| Not Available |
| Full Name | About Face Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10213 Northwood Drive, Blackwell, Missouri |
| Authorized Official Name and Position | Elma Katherine Mcbroom (OWNER/THERAPIST) |
| Authorized Official Contact | 5732029790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| About Face Counseling, Llc 10213 Northwood Drive Blackwell MO 63626-9521 Ph: (573) 202-9790 | About Face Counseling, Llc 10213 Northwood Drive Blackwell MO 63626-9521 Ph: (314) 722-5880 |
| NPI Number | 1962749424 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962749424 | NPI | - | NPPES |
| 1003107236 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2010033339 (Missouri) | Primary |