| Journey Health | |
|
836 S Suburban Ave Springfield MO 65802-6774 | |
| (417) 658-5409 | |
| Not Available |
| Full Name | Journey Health |
|---|---|
| Speciality | Counselor |
| Location | 836 S Suburban Ave, Springfield, Missouri |
| Authorized Official Name and Position | Gene Estrada Garcia (CEO, OWNER) |
| Authorized Official Contact | 4176585409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Health 3871 S Homewood St Springfield MO 65807-3963 Ph: (417) 658-5409 | Journey Health 836 S Suburban Ave Springfield MO 65802-6774 Ph: (417) 658-5409 |
| NPI Number | 1245945260 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 9234575424 |
|---|---|
| Medicare Enrollment ID | O20240311001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245945260 | NPI | - | NPPES |
| Provider Name | Gene Estrada Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578916946 PECOS PAC ID: 0143666339 Enrollment ID: I20240311001407 |
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