| Bootheel Counseling Services | |
|
760 Plantation Blvd Sikeston MO 63801-5736 | |
| (573) 471-0800 | |
| (573) 471-5740 |
| Full Name | Bootheel Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 760 Plantation Blvd, Sikeston, Missouri |
| Authorized Official Name and Position | David Terrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5734710800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bootheel Counseling Services Po Box 1043 Sikeston MO 63801-1043 Ph: (573) 471-0800 | Bootheel Counseling Services 760 Plantation Blvd Sikeston MO 63801-5736 Ph: (573) 471-0800 |
| NPI Number | 1700652898 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700652898 | NPI | - | NPPES |
| 1386789139 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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