| Proactive Behavioral Health, Inc. | |
|
1654 Bryan Rd O Fallon MO 63368-4897 | |
| (636) 344-0433 | |
| (816) 631-0171 |
| Full Name | Proactive Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1654 Bryan Rd, O Fallon, Missouri |
| Authorized Official Name and Position | Ryan W Morris (PRESIDENT) |
| Authorized Official Contact | 2172427718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Behavioral Health, Inc. 6389 Highway C Palmyra MO 63461-2044 Ph: (217) 242-7718 | Proactive Behavioral Health, Inc. 1654 Bryan Rd O Fallon MO 63368-4897 Ph: (636) 344-0433 |
| NPI Number | 1154144020 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154144020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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