| Melinda Motter,llc | |
|
1310 Old Highway 63 S Ste 1 Columbia MO 65201-6078 | |
| (573) 874-8818 | |
| Not Available |
| Full Name | Melinda Motter,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1310 Old Highway 63 S Ste 1, Columbia, Missouri |
| Authorized Official Name and Position | Melinda Motter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5738748818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Motter,llc 1310 Old Highway 63 S Ste 1 Columbia MO 65201-6078 Ph: (573) 874-8818 | Melinda Motter,llc 1310 Old Highway 63 S Ste 1 Columbia MO 65201-6078 Ph: (573) 874-8818 |
| NPI Number | 1295271120 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295271120 | NPI | - | NPPES |
| 1558664268 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2010041702 (Missouri) | Primary |
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