Organization
BOOTHEEL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TERRELL (EXCUTIVE DIRECTOR)
(573) 471-0800
Entity
Organization
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-0810
Mailing address
760 PLANTATION BLVD, P.O. BOX 1043, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-0810
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2748045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562823906
—
MO
Enumeration date
02/20/2007
Last updated
02/03/2023
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