| Ozark Mental Health Specialists | |
|
20868 Lynwood Rd Waynesville MO 65583-4602 | |
| (573) 280-5884 | |
| Not Available |
| Full Name | Ozark Mental Health Specialists |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 20868 Lynwood Rd, Waynesville, Missouri |
| Authorized Official Name and Position | Jean A. Gilstrap (OWNER) |
| Authorized Official Contact | 5732805884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Mental Health Specialists Po Box 4418 Waynesville MO 65583-4418 Ph: (573) 280-5884 | Ozark Mental Health Specialists 20868 Lynwood Rd Waynesville MO 65583-4602 Ph: (573) 280-5884 |
| NPI Number | 1225173594 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225173594 | NPI | - | NPPES |
| 207959818 | Medicaid | MO | |
| 12046 | Other | MO | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 107251 (Missouri) | Primary |
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