Bootheel Counseling Services

LBN: Bootheel Counseling Services
Bootheel Counseling Services is an health care organization with primary practice located at 760 Plantation Blvd , Sikeston MO 63801-5736. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Bootheel Counseling Services can be contacted via phone (573) 471-0800, or through Terrell, David via phone (573) 471-0800.

Contact Information

Primary practice address
760 Plantation Blvd Sikeston MO 63801-5736
Phone: (573) 471-0800
Fax: (573) 471-5740
Website:
Map and Directions
Authorized official contact:
Name: Terrell, David Licensed Clinical Social Worker (LCSW)
Phone: (573) 471-0800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1548702053
LBN Legal business name Bootheel Counseling Services
DBA Doing business as
Authorized official Terrell, David Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548702053 NPPES
Missouri MEDICAID 1386789139

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