| Hope Connections, Llc | |
|
19781 Sugar Ln Waynesville MO 65583-3355 | |
| (573) 433-4846 | |
| (573) 433-2083 |
| Full Name | Hope Connections, Llc |
|---|---|
| Speciality | Counselor |
| Location | 19781 Sugar Ln, Waynesville, Missouri |
| Authorized Official Name and Position | Marta Cook (OWNER) |
| Authorized Official Contact | 5734334846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Connections, Llc 19781 Sugar Ln Waynesville MO 65583-3355 Ph: (573) 433-4846 | Hope Connections, Llc 19781 Sugar Ln Waynesville MO 65583-3355 Ph: (573) 433-4846 |
| NPI Number | 1548686066 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 03/07/2014 |
| Medicare PECOS PAC ID | 6507250677 |
|---|---|
| Medicare Enrollment ID | O20220307001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548686066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gwendolyn Ann Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497282008 PECOS PAC ID: 6800134222 Enrollment ID: I20190211001497 |
| Provider Name | Kendra J Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619358306 PECOS PAC ID: 1759622384 Enrollment ID: I20190409002174 |
| Provider Name | Kristen Joi Yoshie Poluyanskis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750982989 PECOS PAC ID: 7911317474 Enrollment ID: I20201112000296 |
| Provider Name | Nicole M Decher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801340609 PECOS PAC ID: 8224435979 Enrollment ID: I20210922001399 |
| Provider Name | Lori Kaye Mathes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700549961 PECOS PAC ID: 4789021395 Enrollment ID: I20240319001089 |
| Provider Name | Marta Elena Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730464439 PECOS PAC ID: 2961896048 Enrollment ID: I20240424002469 |
| Provider Name | Michelle Ritz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841733094 PECOS PAC ID: 4183163835 Enrollment ID: I20240827001340 |
| Provider Name | Amasa George Colby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881274710 PECOS PAC ID: 3870032238 Enrollment ID: I20240829000637 |
| Provider Name | Thomas Wayne Washburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396902029 PECOS PAC ID: 9032659958 Enrollment ID: I20240906000472 |
| Provider Name | Christopher R Shupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457088940 PECOS PAC ID: 2567902158 Enrollment ID: I20240910002521 |
| Provider Name | Charles L Quinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619430519 PECOS PAC ID: 0345773982 Enrollment ID: I20241104002714 |
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