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1591a N. Highway 63 Houston MO 65483 | |
(417) 257-6762 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1591a N. Highway 63, Houston, Missouri |
Authorized Official Name and Position | Barrylyn Ulmanis (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Contact | 4172576792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1591a N. Highway 63 Houston MO 65483 Ph: () - | 1591a N. Highway 63 Houston MO 65483 Ph: (417) 257-6762 |
NPI Number | 1841866787 |
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Provider Enumeration Date | 06/01/2021 |
Last Update Date | 09/15/2021 |
Certification Date | 08/30/2021 |
Identifier | Type | State | Issuer |
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1841866787 | NPI | - | NPPES |
Community Counseling Services Of Missouri, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1591 C North Highway 63, Houston, MO 65483 Phone: 417-260-7707 Fax: 417-967-0710 |