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NPI Code Detail

MEDICARE: THERAPY SERVICES

MEDICARE: THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency2016016569MO
2251S00000XCommunity/Behavioral Health Agency2016016569MO

General Provider Information

NPI Number : 1588119507
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY SERVICES
Provider Business Mailing Address
First Line : 1868 MCKELVEY HILL DR
Second Line : APT D
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3926
Country : US
Telephone Number : 314-873-9723
Fax Number :
Provider Business Practice Location Address
First Line : 1868 MCKELVEY HILL DR
Second Line : APT D
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3926
Country : US
Telephone Number : 314-873-9723
Fax Number :
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : CHUNDRA DANIELLE WILLIAMS
Credential : LCSW
Telephone Number : 314-873-9723
Provider Enumeration Date : 08/19/2016
Last Update Date : 08/19/2016

Similar Medicare Providers

1407306343 — CHUNDRA WILLIAMS LCSW
Practice Location Address:
1868 MCKELVEY HILL DR , APT D
MARYLAND HEIGHTS, MO
63043-3926
Practice Phone: 314-873-9723
Practice Fax:
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1437363785 — WENDY CLAYTON
Practice Location Address:
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Practice Phone: 601-250-4815
Practice Fax:
1366656548 — KELLY SHOWS
Practice Location Address:
206 MARYLAND AVE
MCCOMB, MS
39648-3926
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Practice Fax: 601-250-6859
1457565657 — FELEAFIA S JONES
Practice Location Address:
206 MARYLAND AVE
MCCOMB, MS
39648-3926
Practice Phone: 601-250-4815
Practice Fax: 601-250-6859
1730393919 — JAN PERRETT
Practice Location Address:
206 MARYLAND AVE
MCCOMB, MS
39648-3926
Practice Phone: 601-250-4815
Practice Fax: 601-250-6859

Directions to “THERAPY SERVICES ” Practice Location

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