Organization
PSYCHOLOGICAL CONSULTANTS OF SEDALIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE LENA HARDY MSW LCSW (PARTNER)
(660) 829-1133
Entity
Organization
Contact information
Practice address
3001 CLINTON RD, SEDALIA, MO 65301
(660) 829-1133
(660) 829-1144
Mailing address
3001 CLINTON RD, SEDALIA, MO 65301
(660) 829-1133
(660) 829-1144
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208214000
MAGELLAN EAP
MO
01
—
23518011
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/13/2006
Last updated
08/20/2008
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