Southeast Missouri Behavioral Health
Organization Active NPI Community/Behavioral Health Agency · Park Hills, MO
NPI 1053795005 · NPPES record last updated Jul 18, 2015
Key facts
- NPI
- 1053795005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SOUTHEAST MISSOURI BEHAVIORAL HEALTH
- Practice address
- 512 E Main St
Park Hills, MO 63601-2624 - Phone
- (573) 431-0554
- Fax
- (573) 431-1673
- NPI assigned
- Jul 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Brenda L Felkerson
- Title
- Dir - Accounts Management
- Phone
- (573) 431-0554
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Southeast Missouri Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
512 E Main St
Park Hills, MO 63601-2624
Mailing address
512 E Main St
Park Hills, MO 63601-2624
Phone (573) 431-0554
Other providers in Park Hills, MO
- Matthew David Sherrill
- Michael Sherrill
- Gayla D Sisk
- Dwayne Patrick Smith
- Emilee Louise Snider
- Southeast Missouri Community Treatment Center
- Southeast Missouri Community Treatment Center, Inc.
- St Francois County Health Center
- Richard L. Strait Sr.
- Patricia Stubbs
All providers in Park Hills, MO · Community/Behavioral Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.