| Omc Adult Cprc | |
|
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826 | |
| (417) 257-6762 | |
| (417) 257-5875 |
| Full Name | Omc Adult Cprc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1211 Porter Wagoner Blvd # 23, West Plains, Missouri |
| Authorized Official Name and Position | Thomas Keller (PRESIDENT) |
| Authorized Official Contact | 4172579111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omc Adult Cprc Po Box 1100 West Plains MO 65775-1100 Ph: () - | Omc Adult Cprc 1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826 Ph: (417) 257-6762 |
| NPI Number | 1689880973 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689880973 | NPI | - | NPPES |
| 87175605 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 147-48 (Missouri) | Primary |
Dana Fleming Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 W Main St, West Plains, MO 65775 Phone: 417-553-1242 | |
Bhg Xxviii, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1639 Bruce Smith Pkwy, West Plains, MO 65775 Phone: 417-257-1833 Fax: 417-256-0488 | |
Keturah Farmer, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 504 W Main St, West Plains, MO 65775 Phone: 417-815-4769 | |
Your Best Self Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 504 W Main St, West Plains, MO 65775 Phone: 417-252-1066 | |
Rigdon Collective Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 W Main St, West Plains, MO 65775 Phone: 417-222-2439 Fax: 417-313-0867 | |
Melton Consulting And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2208 Rhonda Dr, West Plains, MO 65775 Phone: 417-505-0638 | |
Addy Van Os Keuls Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Independence Sq, West Plains, MO 65775 Phone: 417-785-3090 |