| Horizon Behavioral Health Llc | |
|
12255 De Paul Dr Suite 490 Bridgeton MO 63044-2510 | |
| (314) 344-7770 | |
| Not Available |
| Full Name | Horizon Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12255 De Paul Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Parimal B Patel (OWNER) |
| Authorized Official Contact | 3143447770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Behavioral Health Llc Po Box 78219 Saint Louis MO 63178-8219 Ph: (314) 344-7770 | Horizon Behavioral Health Llc 12255 De Paul Dr Suite 490 Bridgeton MO 63044-2510 Ph: (314) 344-7770 |
| NPI Number | 1033181037 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 5395722763 |
|---|---|
| Medicare Enrollment ID | O20040702000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033181037 | NPI | - | NPPES |
| 506267004 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2000165366 (Missouri) | Primary |
| Provider Name | Parimal B Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861478554 PECOS PAC ID: 6507856242 Enrollment ID: I20040615000017 |
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