| Psycare | |
|
601 W Nifong, Bldg. 5a Columbia MO 65203 | |
| (573) 220-2366 | |
| Not Available |
| Full Name | Psycare |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 601 W Nifong, Bldg. 5a, Columbia, Missouri |
| Authorized Official Name and Position | Mary Beth Debrodie (CEO) |
| Authorized Official Contact | 5732208366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycare Po Box 605 Fulton MO 65251-0605 Ph: (573) 642-0087 | Psycare 601 W Nifong, Bldg. 5a Columbia MO 65203 Ph: (573) 220-2366 |
| NPI Number | 1801015342 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801015342 | NPI | - | NPPES |
| 498394212 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2003018483 (Missouri) | Primary |
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