| Bodymind Connections Llc | |
|
409 Vandiver Dr Bldg 6 Suite 104 Columbia MO 65202-3754 | |
| (573) 442-5475 | |
| (573) 442-5145 |
| Full Name | Bodymind Connections Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 409 Vandiver Dr, Columbia, Missouri |
| Authorized Official Name and Position | Beth Rachael Parker (PROVIDER) |
| Authorized Official Contact | 5734425475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodymind Connections Llc 409 Vandiver Dr Bldg 6 Suite 104 Columbia MO 65202-3754 Ph: (573) 442-5475 | Bodymind Connections Llc 409 Vandiver Dr Bldg 6 Suite 104 Columbia MO 65202-3754 Ph: (573) 442-5475 |
| NPI Number | 1720238439 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720238439 | NPI | - | NPPES |
| 493553853 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002930 (Missouri) | Primary |
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