| |
318 North Main Street Maryville MO 64468 | |
(660) 562-3000 | |
(660) 562-3002 |
Full Name | |
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Speciality | Psychologist |
Location | 318 North Main Street, Maryville, Missouri |
Authorized Official Name and Position | Michelle A Jones (VICE PRESIDENT/COUNSELOR) |
Authorized Official Contact | 6605623000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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318 North Main Street Maryville MO 64468 Ph: (660) 562-3000 | 318 North Main Street Maryville MO 64468 Ph: (660) 562-3000 |
NPI Number | 1154671311 |
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Provider Enumeration Date | 09/14/2012 |
Last Update Date | 04/25/2014 |
Medicare PECOS PAC ID | 1759514896 |
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Medicare Enrollment ID | O20140425001106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154671311 | NPI | - | NPPES |
1275686719 | Medicaid | MO | |
1336587575 | Medicaid | MO | |
1154671311 | Medicaid | MO |
Provider Name | Michelle Ann Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336587575 PECOS PAC ID: 9133352289 Enrollment ID: I20170804000461 |
Hallelujah Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St Ste C, Maryville, MO 64468 Phone: 660-223-1700 | |
Jacobson Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Edwards St, Maryville, MO 64468 Phone: 660-254-1812 |