Oak Hills Behavioral Health Solutions | |
1513 Union Ave Ste 2500 Moberly MO 65270-9402 | |
(660) 372-1313 | |
Not Available |
Full Name | Oak Hills Behavioral Health Solutions |
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Speciality | Counselor |
Location | 1513 Union Ave Ste 2500, Moberly, Missouri |
Authorized Official Name and Position | Vicky L Martin (OPERATIONS OFFICER) |
Authorized Official Contact | 6603721313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Hills Behavioral Health Solutions 1513 Union Ave Ste 2500 Moberly MO 65270-9402 Ph: (660) 372-1313 | Oak Hills Behavioral Health Solutions 1513 Union Ave Ste 2500 Moberly MO 65270-9402 Ph: (660) 372-1313 |
NPI Number | 1710544416 |
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Provider Enumeration Date | 05/29/2019 |
Last Update Date | 01/29/2020 |
Certification Date | 01/29/2020 |
Medicare PECOS PAC ID | 5597192823 |
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Medicare Enrollment ID | O20200227000422 |
Identifier | Type | State | Issuer |
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1710544416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Glenna C Burton |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336174283 PECOS PAC ID: 5799777215 Enrollment ID: I20040402000190 |
Provider Name | Michael G Maurizi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235252453 PECOS PAC ID: 1052360377 Enrollment ID: I20050113000632 |
Provider Name | Samuel O Fadare |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184685802 PECOS PAC ID: 7012914997 Enrollment ID: I20090211000649 |
Provider Name | Rachel Y Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942484811 PECOS PAC ID: 4183789811 Enrollment ID: I20140422001561 |
Provider Name | Phyllis J Prier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629454095 PECOS PAC ID: 9032424098 Enrollment ID: I20150819009245 |
Provider Name | Rebecca Cook |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588033351 PECOS PAC ID: 1759794878 Enrollment ID: I20210111001700 |
Provider Name | Vicky Lynn Martin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508375585 PECOS PAC ID: 8022445352 Enrollment ID: I20240118002935 |
Provider Name | Janet Marie Eddy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598443541 PECOS PAC ID: 6406208040 Enrollment ID: I20240118003111 |
Provider Name | Jana L Paddock |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962526350 PECOS PAC ID: 1759718083 Enrollment ID: I20240118003920 |
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