| Womack Counseling Services Llc | |
|
503 Potosi St Farmington MO 63640-3218 | |
| (573) 756-1602 | |
| (573) 756-1603 |
| Full Name | Womack Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 503 Potosi St, Farmington, Missouri |
| Authorized Official Name and Position | James P Womack (ADMINISTRATOR) |
| Authorized Official Contact | 5739157986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Womack Counseling Services Llc 503 Potosi St Farmington MO 63640-3218 Ph: (573) 756-1602 | Womack Counseling Services Llc 503 Potosi St Farmington MO 63640-3218 Ph: (573) 756-1602 |
| NPI Number | 1023432788 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 4880824689 |
|---|---|
| Medicare Enrollment ID | O20140221001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023432788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002712 (Missouri) | Primary |
| Provider Name | James Preston Womack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740505197 PECOS PAC ID: 2062540776 Enrollment ID: I20100517000264 |
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