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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