SOUTHEAST MISSOURI BEHAVIORAL HEALTH


Address: 5536 State Highway 32, Po Drawer 459, Farmington, MO 63640-7357
Phone: 5737565749

SOUTHEAST MISSOURI BEHAVIORAL HEALTH (NPI# 1144372517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144372517
Entity Type Organization
Organization Name SOUTHEAST MISSOURI BEHAVIORAL HEALTH
Practice Address 5536 State Highway 32
Po Drawer 459
Farmington
MO 63640-7357
Mailing Address Po Box 459
Farmington
MO 63640-0459
Practice Telephone 5737565749
Practice Fax Number 5737567451
Mailing Telephone 5737565749
Mailing Fax Number 5734315205
Enumeration Date 2007-01-17
Last Update Date 2016-03-31
Authorized Official Name DR. BARRON E PRATTE (PRESIDENT)
Authorized Official Telephone 5737565749
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 876173303 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609194448 Southeast Missouri Behavioral Health Clinic/Center 216 Piedmont Ave Ste 304, Piedmont, MO 63957-1017 2010-05-04
1184949372 Southeast Missouri Behavioral Health Clinic/Center 1014 W Highway 28 Ste E, Owensville, MO 65066-1679 2010-03-31
1023176054 Southeast Missouri Behavioral Health Clinic/Center 5536 State Highway 32, Po Drawer 459, Farmington, MO 63640-7357 2006-12-04
1841645801 Southeast Missouri Behavioral Health Clinic/Center 5536 Hwy 32, Farmington, MO 63640-7357 2016-04-27
1013362078 Southeast Missouri Behavioral Health Clinic/Center 5536 Hwy 32, Farmington, MO 63640-7357 2016-04-27
1053795005 Southeast Missouri Behavioral Health Community/Behavioral Health 512 E Main St, Park Hills, MO 63601-2624 2015-07-18
1134492390 Southeast Missouri Behavioral Health Substance Abuse Rehabilitation Facility 101 S Main St, Poplar Bluff, MO 63901-5843 2012-02-20
1831417682 Southeast Missouri Behavioral Health Clinic/Center 143 S Main St, Ironton, MO 63650-1305 2010-05-04

Office Location

Street Address 5536 STATE HIGHWAY 32
PO DRAWER 459
City FARMINGTON
State MO
Zip Code 63640-7357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023176054 Southeast Missouri Behavioral Health Clinic/Center 5536 State Highway 32, Po Drawer 459, Farmington, MO 63640-7357 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1619519089 Stacey Nicole Gillette Counselor 17885 Hart Pinkston Rd, Farmington, MO 63640 2019-10-17
1346890696 Christopher Ryan Massey Social Worker 607 Pine St., Farmington, MO 63640 2019-09-18
1457909376 Clarice Ogden Social Worker 203 South Washington Street, Farmington, MO 63640 2019-09-04
1861979718 Clint Thebeau In Home Supportive Care 1276 W Liberty St, Farmington, MO 63640 2018-07-24
1023500600 Lynn Machelle Knox Counselor 219 W Columbia St, Farmington, MO 63640 2018-05-31
1235620576 Kim Bazzell Registered Nurse 1565 Ste. Genevieve Ave., Farmington, MO 63640 2018-05-22
1164919742 Lincare Inc. Durable Medical Equipment & Medical Supplies 774 Market St, Farmington, MO 63640 2018-04-18
1184127813 Michelle Lynette Corvallis Chiropractor 17 South Franklin St., Farmington, MO 63640 2018-03-08
1992206213 Farmington Vision Care LLC Optometrist 110 E Harrison St, Farmington, MO 63640 2018-02-22
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568594380 Mineral Area Community Psychiatric Rehabilitation Center, Inc. Clinic/Center 203 South Washington, Farmington, MO 63640-0510 2007-03-09
1275140089 Love & Wellness Counseling Clinic/Center 240 N East Promontory, Farmington, UT 84025-2950 2020-09-25
1972129179 Community Behavioral Health Centers of Missouri, LLC Clinic/Center 1528 Highway H, Farmington, MO 63640-7042 2020-06-23
1013362078 Southeast Missouri Behavioral Health Clinic/Center 5536 Hwy 32, Farmington, MO 63640-7357 2016-04-27
1144351008 Bjc Behavioral Health Clinic/Center 1085 Maple St, Farmington, MO 63640-1955 2007-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700484599 Institute of Intrapersonal Development, LLC Clinic/Center 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 2020-10-13
1740813096 Hotel California By The Sea St. Louis, LLC Clinic/Center 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 2020-02-14
1659832079 Metro Neurohealth LLC Clinic/Center 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 2019-03-28
1013472703 Teresa L Deshields Phd LLC Clinic/Center 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 2019-02-06
1497226328 Butler Psychological Services, LLC Clinic/Center 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 2018-12-17
1710425236 Beaconstar Counseling, LLC Clinic/Center 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 2017-02-03
1689111379 Mindfully Whole Psychotherapy LLC Clinic/Center 4057 W Ildereen St, Springfield, MO 65807-1063 2017-01-19
1760839260 Independence Center Clinic/Center 4245 Forest Park Ave, Saint Louis, MO 63108-2810 2016-05-16
1912361627 New Horizons Community Support Services, Inc. Clinic/Center 2013 William St, Jefferson City, MO 65109-4771 2016-04-08
1780069161 Iqbal Psychiatry Clinic/Center 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 2015-07-27
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Competitor

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City FARMINGTON
Zip Code 63640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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