Insightful Behavioral Health | |
1600 W Maud Street Ste 2 Poplar Bluff MO 63901-2428 | |
(573) 840-0615 | |
Not Available |
Full Name | Insightful Behavioral Health |
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Speciality | Social Worker |
Location | 1600 W Maud Street, Poplar Bluff, Missouri |
Authorized Official Name and Position | Harold B Rose (OWNER) |
Authorized Official Contact | 5739152251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Insightful Behavioral Health 1910 Greenwood Dr Ste A Poplar Bluff MO 63901-2428 Ph: (573) 840-0615 | Insightful Behavioral Health 1600 W Maud Street Ste 2 Poplar Bluff MO 63901-2428 Ph: (573) 840-0615 |
NPI Number | 1417608407 |
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Provider Enumeration Date | 01/12/2022 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Medicare PECOS PAC ID | 4284097247 |
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Medicare Enrollment ID | O20230824001568 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417608407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Harold B Rose |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265071484 PECOS PAC ID: 4880020841 Enrollment ID: I20200211001137 |
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