2Btraumafree LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Perryville, MO
NPI 1720858657 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1720858657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- 2BTRAUMAFREE LLC
- Practice address
- 17 E Saint Joseph St
Perryville, MO 63775-2016 - Phone
- (573) 510-9488
- NPI assigned
- Jan 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Annie Mouser
- Title
- Credentialing
- Phone
- (903) 716-6602
Practitioners 2
-
Maria Esswein, LPC
-
Mary P Esswein, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240304003193 | MO | Part B Supplier - Clinic/Group Practice | 8224473996 |
Receives reassigned benefits from 2 practitioners Practice locations: Kirkwood, MO; Perryville, MO |
National Provider Directory
Locations
220 W Argonne Dr
Ste T
Kirkwood, MO 63122
Phone (573) 768-0405
17 W Saint Joseph St
Perryville, MO 63775
Phone (573) 768-0405
17 W Saint Joseph St
#2
Perryville, MO 63775
Phone (573) 768-0405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
17 E Saint Joseph St
Perryville, MO 63775-2016
Mailing address
20 S West St
Perryville, MO 63775-2547
Other practice location 1
220 W Argonne Dr Ste T
Kirkwood, MO 63122-4240
Phone (573) 768-0405
Other practice location 2
20 S West St
Perryville, MO 63775-2547
Phone (573) 768-0405
Other providers in Perryville, MO
All providers in Perryville, MO · Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.