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340 Kelley Pkwy Mexico MO 65265-3811 | |
(573) 582-1234 | |
(573) 581-1981 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 340 Kelley Pkwy, Mexico, Missouri |
Authorized Official Name and Position | Jeanann Early (DIRECTOR OF COMPLIANCE) |
Authorized Official Contact | 5735821234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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340 Kelley Pkwy Mexico MO 65265-3811 Ph: (573) 582-1234 | 340 Kelley Pkwy Mexico MO 65265-3811 Ph: (573) 582-1234 |
NPI Number | 1326617978 |
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Provider Enumeration Date | 06/18/2021 |
Last Update Date | 12/12/2024 |
Certification Date | 12/12/2024 |
Identifier | Type | State | Issuer |
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1326617978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lisa J. Snow, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 E Promenade St, Mexico, MO 65265 Phone: 573-975-4301 Fax: 573-975-4304 | |
Advantage Counseling Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Jackson St, Mexico, MO 65265 Phone: 573-567-0070 Fax: 417-944-1440 | |