Lake Behavioral Health Associates, Llc in Osage Beach - Clinical
Lake Behavioral Health Associates, Llc - NPI 1942241203
Lake Behavioral Health Associates, Llc is a Clinical in Osage Beach, Missouri. Lake Behavioral Health Associates, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lake Behavioral Health Associates, Llc is 1942241203. The last update date is 2022-10-03.
Lake Behavioral Health Associates, Llc's current location address is Po Box 449, Osage Beach, Missouri. You can contact this provider via phone number 5736939090 and fax number 5733481858. The mailing address for Lake Behavioral Health Associates, Llc is Po Box 449, Osage Beach, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Behavioral Health Associates, Llc |
|---|---|
| Address | Po Box 449, Osage Beach, Missouri |
| Phone Number | 5736939090 |
| Fax Number | 5733481858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Parker E. Nicole |
| Credentials | PSYD |
| Telephone Number | 5736939090 |
NPI Number Detail
| NPI Number | 1942241203 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2022-10-03 |
Provider Mailing Address Detail
| Address | Po Box 449 |
|---|---|
| City | Osage Beach |
| State | Missouri (MO) |
| Post Code | 650650449 |
| Phone Number | 5736939090 |
| Fax Number | 5733481858 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Lake Behavioral Health Associates, Llc by the Centers for Medicare & Medicaid Services?
The Lake Behavioral Health Associates, Llc has been issued the NPI (National Provider Identifier) 1942241203, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lake Behavioral Health Associates, Llc?
The Lake Behavioral Health Associates, Llc is physically situated at Po Box 449, in the city of Osage Beach, state of MO, with the postal code 650650449.
What is Lake Behavioral Health Associates, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Behavioral Health Associates, Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1942241203 assigned to Lake Behavioral Health Associates, Llc?
The Lake Behavioral Health Associates, Llc was issued its 1942241203 on 2006-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lake Behavioral Health Associates, Llc last refreshed?
The information related to the Lake Behavioral Health Associates, Llc, including its address, specialty, and other relevant details, was last updated on 2022-10-03.
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