Geriatric Psychotherapy Services Gina Bax, Msw, Lcsw, Llc | |
261 Bless Us Dr E Wentzville MO 63385-2227 | |
(636) 577-4607 | |
Not Available |
Full Name | Geriatric Psychotherapy Services Gina Bax, Msw, Lcsw, Llc |
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Speciality | Community/behavioral Health |
Location | 261 Bless Us Dr E, Wentzville, Missouri |
Authorized Official Name and Position | Gina Nicole Bax (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6365774607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geriatric Psychotherapy Services Gina Bax, Msw, Lcsw, Llc 261 Bless Us Dr E Wentzville MO 63385-2227 Ph: (636) 577-4607 | Geriatric Psychotherapy Services Gina Bax, Msw, Lcsw, Llc 261 Bless Us Dr E Wentzville MO 63385-2227 Ph: (636) 577-4607 |
NPI Number | 1497047450 |
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Provider Enumeration Date | 05/10/2011 |
Last Update Date | 05/10/2011 |
Identifier | Type | State | Issuer |
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1497047450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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