| Family Therapy Of The Ozarks | |
|
1310 E. Kingsley St. C Springfield MO 65804-7216 | |
| (417) 882-7700 | |
| (417) 885-3956 |
| Full Name | Family Therapy Of The Ozarks |
|---|---|
| Speciality | Social Worker |
| Location | 1310 E. Kingsley St. C, Springfield, Missouri |
| Authorized Official Name and Position | Mary Catherine Turner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4178827700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Of The Ozarks 1310 E. Kingsley St. C Springfield MO 65804-7216 Ph: (417) 882-7700 | Family Therapy Of The Ozarks 1310 E. Kingsley St. C Springfield MO 65804-7216 Ph: (417) 882-7700 |
| NPI Number | 1982172235 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 02/26/2021 |
| Certification Date | 02/26/2021 |
| Medicare PECOS PAC ID | 7315352127 |
|---|---|
| Medicare Enrollment ID | O20210208002944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982172235 | NPI | - | NPPES |
| 490052454 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326415209 PECOS PAC ID: 1557778982 Enrollment ID: I20210331000368 |
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