Organization
BOOTHEEL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TERRELL LCSW (DIRECTOR)
(573) 471-0800
Entity
Organization
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-5740
Mailing address
760 PLANTATION BLVD, PO BOX 1043, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-5740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386789139
—
MO
Enumeration date
11/15/2016
Last updated
11/15/2016
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