Kelley Gaye Wilbanks in West Plains - Counselor
Kelley Gaye Wilbanks - NPI 1578666723
Kelley Gaye Wilbanks is a Counselor in West Plains, Missouri. Kelley Gaye Wilbanks practices all healthcare services and medical treatments related to Counselor. The NPI Number for Kelley Gaye Wilbanks is 1578666723. The last update date is 2007-07-08.
Kelley Gaye Wilbanks's current location address is 3411 Division Dr, West Plains, Missouri. You can contact this provider via phone number 4172579152 and fax number 4172579162. The mailing address for Kelley Gaye Wilbanks is 3411 Division Dr, West Plains, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Gaye Wilbanks |
|---|---|
| Address | 3411 Division Dr, West Plains, Missouri |
| Phone Number | 4172579152 |
| Fax Number | 4172579162 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1578666723 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3411 Division Dr |
|---|---|
| City | West Plains |
| State | Missouri (MO) |
| Post Code | 657755789 |
| Phone Number | 4172579152 |
| Fax Number | 4172579162 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 494720303 |
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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 |
|---|---|---|---|
| 494720303 | MO | -- | |
| 151551 | MO | BLUE CROSS BLUE SHIELD | |
| 431116734 | MO | NEW DIRECTIONS | |
| 431116734 | MO | EAP INTERFACE | |
| 11545393 | MO | CAQH | |
| 713333 | MO | HEALTHLINK PPO |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelley Gaye Wilbanks by the Centers for Medicare & Medicaid Services?
The Kelley Gaye Wilbanks has been issued the NPI (National Provider Identifier) 1578666723 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kelley Gaye Wilbanks is physically located?
The Kelley Gaye Wilbanks is situated at the following address: 3411 Division Dr, West Plains, MO 657755789.
What is the Kelley Gaye Wilbanks's specialty and taxonomy code?
The Kelley Gaye Wilbanks's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578666723 to Kelley Gaye Wilbanks?
The Centers for Medicare & Medicaid Services assigned the 1578666723 to Kelley Gaye Wilbanks on 2006-09-06.
When was the information pertaining to Kelley Gaye Wilbanks most recently updated or revised?
The details related to Kelley Gaye Wilbanks, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1063415297
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