| Theresa A Eschmann Llc | |
|
2158 Warwick Castle Dr Imperial MO 63052-3869 | |
| (314) 566-4232 | |
| Not Available |
| Full Name | Theresa A Eschmann Llc |
|---|---|
| Speciality | Counselor |
| Location | 2158 Warwick Castle Dr, Imperial, Missouri |
| Authorized Official Name and Position | Theresa A Eschmann (OWNER) |
| Authorized Official Contact | 3145664232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa A Eschmann Llc 2158 Warwick Castle Dr Imperial MO 63052-3869 Ph: (314) 566-4232 | Theresa A Eschmann Llc 2158 Warwick Castle Dr Imperial MO 63052-3869 Ph: (314) 566-4232 |
| NPI Number | 1578953279 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 04/13/2024 |
| Certification Date | 04/13/2024 |
| Medicare PECOS PAC ID | 7810337474 |
|---|---|
| Medicare Enrollment ID | O20240430000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578953279 | NPI | - | NPPES |
| 2004036752 | Other | MO | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2004036752 (Missouri) | Primary |
| Provider Name | Theresa A Eschmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104960590 PECOS PAC ID: 6608216270 Enrollment ID: I20240430000967 |
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