Grief And Loss Counseling Llc | |
200 Ne Missouri Rd Ste 268 Lees Summit MO 64086-4722 | |
(816) 376-0011 | |
Not Available |
Full Name | Grief And Loss Counseling Llc |
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Speciality | Social Worker |
Location | 200 Ne Missouri Rd Ste 268, Lees Summit, Missouri |
Authorized Official Name and Position | Julie Anne Anello (OWNER) |
Authorized Official Contact | 8163760011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grief And Loss Counseling Llc 1108 Se Timbercreek Ln Lees Summit MO 64081-3002 Ph: (816) 376-0011 | Grief And Loss Counseling Llc 200 Ne Missouri Rd Ste 268 Lees Summit MO 64086-4722 Ph: (816) 376-0011 |
NPI Number | 1104565282 |
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Provider Enumeration Date | 05/27/2022 |
Last Update Date | 05/27/2022 |
Certification Date | 05/27/2022 |
Medicare PECOS PAC ID | 5890177182 |
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Medicare Enrollment ID | O20220803001449 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104565282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Julie A Anello |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265056238 PECOS PAC ID: 4284059718 Enrollment ID: I20200731000245 |
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