| Marlene Littleton, Llc | |
|
1170 W Kansas St Building 10 Liberty MO 64068-2036 | |
| (816) 820-0306 | |
| Not Available |
| Full Name | Marlene Littleton, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1170 W Kansas St, Liberty, Missouri |
| Authorized Official Name and Position | Marlene Littleton (OWNER/THERAPIST) |
| Authorized Official Contact | 8168200306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene Littleton, Llc 1911 Loughrey St Liberty MO 64068-3097 Ph: (816) 820-0306 | Marlene Littleton, Llc 1170 W Kansas St Building 10 Liberty MO 64068-2036 Ph: (816) 820-0306 |
| NPI Number | 1194260471 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Medicare PECOS PAC ID | 1759663917 |
|---|---|
| Medicare Enrollment ID | O20170123002864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194260471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW005482 (Missouri) | Primary |
| Provider Name | Marlene A Littleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700047727 PECOS PAC ID: 6901180660 Enrollment ID: I20170123002764 |
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