| Advanced Counseling Solutions, Llc | |
|
764 Weber Rd Farmington MO 63640-3317 | |
| (573) 664-1326 | |
| (573) 664-1328 |
| Full Name | Advanced Counseling Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 764 Weber Rd, Farmington, Missouri |
| Authorized Official Name and Position | Mark Ernest Wardlow (OWNER/THERAPIST) |
| Authorized Official Contact | 5739154123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Counseling Solutions, Llc 764 Weber Rd Farmington MO 63640-3317 Ph: (573) 664-1326 | Advanced Counseling Solutions, Llc 764 Weber Rd Farmington MO 63640-3317 Ph: (573) 664-1326 |
| NPI Number | 1972129179 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Medicare PECOS PAC ID | 9335500099 |
|---|---|
| Medicare Enrollment ID | O20230728000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972129179 | NPI | - | NPPES |
| Provider Name | Steven Michael Majdecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396232831 PECOS PAC ID: 8729486931 Enrollment ID: I20211001000964 |
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