| Your Best Self Llc | |
|
504 W Main St West Plains MO 65775-2732 | |
| (417) 252-1066 | |
| Not Available |
| Full Name | Your Best Self Llc |
|---|---|
| Speciality | Social Worker |
| Location | 504 W Main St, West Plains, Missouri |
| Authorized Official Name and Position | Toni Autrey (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4172521066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Best Self Llc 642 County Road 1050 Willow Springs MO 65793-3380 Ph: (417) 252-1066 | Your Best Self Llc 504 W Main St West Plains MO 65775-2732 Ph: (417) 252-1066 |
| NPI Number | 1205537842 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 5597122473 |
|---|---|
| Medicare Enrollment ID | O20230608000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205537842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Toni R Autrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578087359 PECOS PAC ID: 4183954407 Enrollment ID: I20230608000847 |
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