| Eagle Crest Counseling Center, Inc. | |
|
636 W Republic Rd Ste F100 Springfield MO 65807-5810 | |
| (417) 862-8282 | |
| (417) 862-8805 |
| Full Name | Eagle Crest Counseling Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 636 W Republic Rd Ste F100, Springfield, Missouri |
| Authorized Official Name and Position | Jim W. Cherry (OFFICE MANAGER) |
| Authorized Official Contact | 4178628282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Crest Counseling Center, Inc. 636 W Republic Rd Ste G100 Springfield MO 65807-5811 Ph: (417) 862-8282 | Eagle Crest Counseling Center, Inc. 636 W Republic Rd Ste F100 Springfield MO 65807-5810 Ph: (417) 862-8282 |
| NPI Number | 1659421931 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 03/01/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 3779631619 |
|---|---|
| Medicare Enrollment ID | O20090501000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659421931 | NPI | - | NPPES |
| 500792502 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Richard Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396781399 PECOS PAC ID: 4183665243 Enrollment ID: I20050518001127 |
| Provider Name | Debbie L Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477603769 PECOS PAC ID: 1850449794 Enrollment ID: I20100913000086 |
Breaking The Mental Chains, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1522 E Camino Alto St, Springfield, MO 65804 Phone: 417-894-2731 Fax: 417-890-7757 | |
Springfield Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3863a S Campbell Ave, Springfield, MO 65807 Phone: 417-882-2211 | |
Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2135 S Eastgate Ave, Springfield, MO 65809 Phone: 417-221-6252 | |
Murrell Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 E Kingsley St Ste B, Springfield, MO 65804 Phone: 417-881-1580 Fax: 417-881-7004 | |
Krm Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 S Broadway Ave, Springfield, MO 65807 Phone: 417-838-9461 | |
Integrative Family Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 E Meadowmere St, Springfield, MO 65804 Phone: 417-848-9054 | |
Preferred Family Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 S Glenstone Ave, Springfield, MO 65804 Phone: 417-869-8911 Fax: 417-864-3087 |