Phyllis M Reesman in Boonville - Counselor
Phyllis M Reesman - NPI 1902806581
Phyllis M Reesman is a Counselor in Boonville, Missouri. Phyllis M Reesman practices all healthcare services and medical treatments related to Counselor. The NPI Number for Phyllis M Reesman is 1902806581. The last update date is 2007-07-13.
Phyllis M Reesman's current location address is 15899 Logans Lake Rd, Boonville, Missouri. You can contact this provider via phone number 6608822333 and fax number 5508822333. The mailing address for Phyllis M Reesman is 15899 Logans Lake Rd, Boonville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis M Reesman |
|---|---|
| Address | 15899 Logans Lake Rd, Boonville, Missouri |
| Phone Number | 6608822333 |
| Fax Number | 5508822333 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902806581 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 15899 Logans Lake Rd |
|---|---|
| City | Boonville |
| State | Missouri (MO) |
| Post Code | 652332866 |
| Phone Number | 6608822333 |
| Fax Number | 5508822333 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 596 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1538204904 | MO | BOONVILLE NPI | |
| 3361 | MO | FEI I.D. NUMBER | |
| 5763918 | MO | FIRST HEALTH I.D. NUMBER | |
| 1649269622 | MO | GROUP BILLING NPI | |
| 203147 | MO | HEALTHLINK I.D. NUMBER | |
| 22157 | MO | BCBS I.D. NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Phyllis M Reesman?
The Phyllis M Reesman has been issued the NPI (National Provider Identifier) 1902806581 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Phyllis M Reesman is geographically located?
The Phyllis M Reesman is physically situated at the following location: 15899 Logans Lake Rd, Boonville, MO, 652332866.
What is Phyllis M Reesman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phyllis M Reesman is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date was the 1902806581 assigned to Phyllis M Reesman?
The Phyllis M Reesman was issued its 1902806581 on 2005-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Phyllis M Reesman most recently updated?
The details pertaining to the Phyllis M Reesman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-13.