Organization
BREAKTHROUGH MENTAL HEALTH SERVICES LLC
Active
Organization
BREAKTHROUGH MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN YORK LCSW (MENTAL HEALTH THERAPIST)
(417) 778-5033
Entity
Organization
Contact information
Practice address
203 E MAIN ST, WEST PLAINS, MO 65775-3524
(417) 505-9843
Mailing address
PO BOX 334, WEST PLAINS, MO 65775-0334
(417) 778-5033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006018050
—
MO
01
—
612447
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/10/2019
Last updated
09/18/2019
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