Depression Clinic At The Health Centers | |
2621 Raymond Dr Saint Charles MO 63301-4872 | |
(636) 946-2244 | |
(636) 946-6975 |
Full Name | Depression Clinic At The Health Centers |
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Speciality | Psychiatry & Neurology |
Location | 2621 Raymond Dr, Saint Charles, Missouri |
Authorized Official Name and Position | Kayla C Brooks (DIRECTOR) |
Authorized Official Contact | 6369462244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Depression Clinic At The Health Centers 2621 Raymond Dr Saint Charles MO 63301-4872 Ph: (636) 946-2244 | Depression Clinic At The Health Centers 2621 Raymond Dr Saint Charles MO 63301-4872 Ph: (636) 946-2244 |
NPI Number | 1093430944 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/18/2022 |
Certification Date | 10/18/2022 |
Medicare PECOS PAC ID | 9032580030 |
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Medicare Enrollment ID | O20230131001427 |
Identifier | Type | State | Issuer |
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1093430944 | NPI | - | NPPES |
203861919 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Rolando A Larice |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356324917 PECOS PAC ID: 3971581638 Enrollment ID: I20040709000303 |
Rosebud Family Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 S 5th St, Suite 346, Saint Charles, MO 63301 Phone: 636-724-2922 Fax: 636-724-2928 | |
Bridgeway Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 S Main St, Saint Charles, MO 63303 Phone: 636-224-1000 Fax: 636-669-1010 | |
Mercy Visions Home Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 Domain St Apt 1, Saint Charles, MO 63301 Phone: 636-294-5089 Fax: 636-614-0766 | |
Rory Ries Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 2nd St, Saint Charles, MO 63301 Phone: 636-328-1909 | |
Medelyn Minor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 Wall St, Suite 244, Saint Charles, MO 63303 Phone: 314-650-3905 Fax: 314-890-2034 | |
Erin Smith Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Madison St, Saint Charles, MO 63301 Phone: 636-328-2739 Fax: 636-410-8212 |