| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 W Mcclurg, Richland, Missouri |
| Authorized Official Name and Position | Kelly Miller (CEO) |
| Authorized Official Contact | 5738367071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 777 Richland MO 65556-0777 Ph: (573) 836-7053 | 112 W Mcclurg Richland MO 65556 Ph: (573) 765-5141 |
| NPI Number | 1679168306 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 2062554025 |
|---|---|
| Medicare Enrollment ID | O20210702000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679168306 | NPI | - | NPPES |
Blessed Assurance Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27995 Rochester Rd, Richland, MO 65556 Phone: 573-855-6857 Fax: 573-765-4350 | |
Jan S Harmon Psyd Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Dublin Lane, Richland, MO 65556 Phone: 941-404-9523 |