Organization
ALBANY BEHAVIORAL HEALTH SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE M WILMES LCSW (OWNER)
(660) 853-1322
Entity
Organization
Contact information
Practice address
113 N SMITH ST, ALBANY, MO 64402-1250
(660) 853-1322
Mailing address
113 N SMITH ST, ALBANY, MO 64402-1250
(660) 853-1322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2010033597
MO
1041C0700X
Clinical Social Worker
Primary
2003029038
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588973929
NPI MARY-JENNIFER QUINLEY
MO
01
—
1710910955
NPI FOR JANE M. WILMES
MO
Enumeration date
03/23/2011
Last updated
03/23/2011
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