| Bhg Poplar Bluff Treatment Center | |
|
1369 N Westwood Blvd Poplar Bluff MO 63901-3313 | |
| (573) 772-7937 | |
| (573) 778-1315 |
| Full Name | Bhg Poplar Bluff Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1369 N Westwood Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Poplar Bluff Treatment Center 5001 Spring Valley Road Suite 600 East Dallas TX 75244-5603 Ph: (214) 365-6100 | Bhg Poplar Bluff Treatment Center 1369 N Westwood Blvd Poplar Bluff MO 63901-3313 Ph: (573) 772-7937 |
| NPI Number | 1508277229 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 0648589671 |
|---|---|
| Medicare Enrollment ID | O20151014001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508277229 | NPI | - | NPPES |
| Provider Name | Celeste Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689650855 PECOS PAC ID: 5991787608 Enrollment ID: I20040607000064 |
| Provider Name | Elaine Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245471994 PECOS PAC ID: 0042351397 Enrollment ID: I20100108000150 |
| Provider Name | Kip C Newell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841226222 PECOS PAC ID: 8921131921 Enrollment ID: I20101014000908 |
| Provider Name | Devona D Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215915889 PECOS PAC ID: 7810186962 Enrollment ID: I20110105001002 |
| Provider Name | Mark L Carlson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1528192150 PECOS PAC ID: 9739356239 Enrollment ID: I20120125000057 |
| Provider Name | Becky A Cumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194966713 PECOS PAC ID: 6608193826 Enrollment ID: I20150327001849 |
| Provider Name | William Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164787594 PECOS PAC ID: 9032345400 Enrollment ID: I20151211000481 |
| Provider Name | Shawn M Stranckmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558776229 PECOS PAC ID: 4688946064 Enrollment ID: I20170818002923 |
| Provider Name | Sarah Marie Canoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639529746 PECOS PAC ID: 3274826557 Enrollment ID: I20200107001288 |
| Provider Name | Lisa Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497833610 PECOS PAC ID: 3678566023 Enrollment ID: I20220308002343 |
| Provider Name | Cheryl A Hemme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356399463 PECOS PAC ID: 1850712035 Enrollment ID: I20240417002894 |
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2gethertech Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 N Main St, Poplar Bluff, MO 63901 Phone: 573-785-9549 Fax: 573-785-4815 | |
Family Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Three Rivers Blvd, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-778-7265 | |
Bridget Hurt, Psy.d. & Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 907 N Main St, Poplar Bluff, MO 63901 Phone: 573-776-6236 Fax: 573-776-6236 | |
Cape Arrowhead Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Vine St, Poplar Bluff, MO 63901 Phone: 573-727-1210 | |
Keeling And Keeling Enterprises Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910d Greenwood Dr, Poplar Bluff, MO 63901 Phone: 573-840-8404 | |
Family Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Three Rivers Blvd, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029 |