| H B Therapeutic Services, Llc | |
|
2012 Cherry Hill Dr Ste 101 Columbia MO 65203-5882 | |
| (573) 289-8144 | |
| Not Available |
| Full Name | H B Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2012 Cherry Hill Dr Ste 101, Columbia, Missouri |
| Authorized Official Name and Position | Heidi Annette Blackstun (OWNER, CLINICIAN) |
| Authorized Official Contact | 5732898144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H B Therapeutic Services, Llc 1810 Caledon Ct Columbia MO 65203-8458 Ph: (573) 289-8144 | H B Therapeutic Services, Llc 2012 Cherry Hill Dr Ste 101 Columbia MO 65203-5882 Ph: (573) 289-8144 |
| NPI Number | 1679594535 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 5294707162 |
|---|---|
| Medicare Enrollment ID | O20040811000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679594535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2001024582 (Missouri) | Primary |
| Provider Name | Heidi A Blackstun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821028895 PECOS PAC ID: 1254303126 Enrollment ID: I20040811000247 |
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