| Tea Tree Behavioral Health & Therapy Llc | |
|
102 S Mckinley Ave Union MO 63084-1814 | |
| (636) 484-4371 | |
| Not Available |
| Full Name | Tea Tree Behavioral Health & Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 102 S Mckinley Ave, Union, Missouri |
| Authorized Official Name and Position | Amanda Marie Gilman (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 6364844371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tea Tree Behavioral Health & Therapy Llc 5323 Mirasol Manor Way Eureka MO 63025-2751 Ph: (636) 484-4371 | Tea Tree Behavioral Health & Therapy Llc 102 S Mckinley Ave Union MO 63084-1814 Ph: (636) 484-4371 |
| NPI Number | 1740632827 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Medicare PECOS PAC ID | 9638459647 |
|---|---|
| Medicare Enrollment ID | O20161209000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740632827 | NPI | - | NPPES |
| Provider Name | Amanda Gilman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679988042 PECOS PAC ID: 9638459654 Enrollment ID: I20161209000651 |
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