| Lake Behavioral Health Associates, Llc | |
|
5529b Osage Beach Pkwy Osage Beach MO 65065-3023 | |
| (573) 693-9090 | |
| Not Available |
| Full Name | Lake Behavioral Health Associates, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5529b Osage Beach Pkwy, Osage Beach, Missouri |
| Authorized Official Name and Position | Nicole E. Parker (PRESIDENT) |
| Authorized Official Contact | 5736939090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Behavioral Health Associates, Llc Po Box 449 Osage Beach MO 65065-0449 Ph: (573) 693-9090 | Lake Behavioral Health Associates, Llc 5529b Osage Beach Pkwy Osage Beach MO 65065-3023 Ph: (573) 693-9090 |
| NPI Number | 1942241203 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942241203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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