| Spero Counseling Center, Llc | |
|
3101 S Kimbrough Ave # B Springfield MO 65807-5011 | |
| (417) 893-9259 | |
| Not Available |
| Full Name | Spero Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3101 S Kimbrough Ave # B, Springfield, Missouri |
| Authorized Official Name and Position | Meghan Roetto (LCSW) |
| Authorized Official Contact | 4178939359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spero Counseling Center, Llc 3101 S Kimbrough Ave # B Springfield MO 65807-5011 Ph: (417) 893-9359 | Spero Counseling Center, Llc 3101 S Kimbrough Ave # B Springfield MO 65807-5011 Ph: (417) 893-9259 |
| NPI Number | 1992327001 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Medicare PECOS PAC ID | 3870918360 |
|---|---|
| Medicare Enrollment ID | O20200730002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992327001 | NPI | - | NPPES |
| 1285145730 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meghan Roetto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285145730 PECOS PAC ID: 8921361676 Enrollment ID: I20180411002705 |
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