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NPI Code Detail

MEDICARE: FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE

MEDICARE: FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932225141
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 724 N 22ND STREET
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2604
Country : US
Telephone Number : 816-364-1501
Fax Number : 816-364-4211
Provider Business Practice Location Address
First Line : 724 N 22ND STREET
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2604
Country : US
Telephone Number : 816-364-1501
Fax Number : 816-364-4211
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : GARRY A HAMMOND
Credential :
Telephone Number : 816-364-1501
Provider Enumeration Date : 03/21/2007
Last Update Date : 12/13/2011

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1336395045 — MRS. KERRI JEAN HILBERT M.A., LPC
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Directions to “FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE ” Practice Location

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