| Safe Haven Therapy Llc | |
|
420 St John Thayer MO 65791-8500 | |
| (800) 000-0000 | |
| Not Available |
| Full Name | Safe Haven Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 420 St John, Thayer, Missouri |
| Authorized Official Name and Position | Tristar Mbc (MANAGER) |
| Authorized Official Contact | 3867039084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Therapy Llc 420 St John Thayer MO 65791-8500 Ph: () - | Safe Haven Therapy Llc 420 St John Thayer MO 65791-8500 Ph: (800) 000-0000 |
| NPI Number | 1467238808 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 1658718861 |
|---|---|
| Medicare Enrollment ID | O20240325000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467238808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Glenn Baxter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881060333 PECOS PAC ID: 2567809775 Enrollment ID: I20240325000164 |
Newton's Group Home Of Thayer, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt #3 Box 153, Thayer, MO 65791 Phone: 417-257-0954 Fax: 417-257-2982 |