MISS MARY BETH HALDEMAN (NPI# 1417088220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417088220 |
| Entity Type | Individual |
| Full Name | MISS MARY BETH HALDEMAN |
| Credential | LPC |
| Practice Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Mailing Address |
Po Box 280 Poplar Bluff MO 63902-0280 |
| Practice Telephone | 5736861200 |
| Practice Fax Number | 5736861029 |
| Mailing Telephone | 5736861200 |
| Mailing Fax Number | 5736861029 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2007002228 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 494914906 | 05 | |
| CAQH | 11792021 | 01 | |
| EAP IMPACT | 2651 | 01 |
| Street Address |
3001 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083638506 | Robin Denise Vickery | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2006-07-27 |
| 1235738493 | Family Counseling Center, Inc. | Clinic/Center | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-10-20 |
| 1972117620 | Selina Ann Mcklintic | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-09-01 |
| 1477163764 | Paula Kay Dawes | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-08-03 |
| 1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
| 1730797564 | Holly Rebecca Carter | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-17 |
| 1174144547 | Angela Michelle Slaughter | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1215558655 | Ashley Don Scheffler | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1922628510 | Jennifer Lee Taylor | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-23 |
| 1639708233 | Zackary James Ladyman | Licensed Practical Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495302 | Todd Micheal Jordan | Counselor | 2451 Fair St, Poplar Bluff, MO 63901-7019 | 2016-09-19 |
| 1205138260 | Andrea L Crafton | Counselor | 4809 West Blvd, Poplar Bluff, MO 63901-8939 | 2010-11-24 |
| 1376795351 | Gina L Duckett | Counselor | 3816 Highway 67 N, Poplar Bluff, MO 63901-8779 | 2008-10-21 |
| 1295987667 | Regina Elizabeth Williams | Counselor | 375 Hibiscus Ln, Poplar Bluff, MO 63901-6932 | 2008-10-16 |
| 1548412349 | Cheryl Lynne Terrell | Counselor | 1425 Camp Rd, Poplar Bluff, MO 63901-3064 | 2008-10-13 |
| 1679761407 | Dale Howard Robinson Sr. | Counselor | 1901 N Westwood Blvd, Ste 8, Poplar Bluff, MO 63901-2800 | 2007-10-05 |
| 1356533053 | Judith Lynne Moss | Counselor | 2725 N Westwood Blvd Ste 8, Poplar Bluff, MO 63901-2367 | 2007-08-16 |
| 1679780019 | Ann C Kneibert | Counselor | 891 Mockingbird Ln, Poplar Bluff, MO 63901-4769 | 2007-05-16 |
| 1083638506 | Robin Denise Vickery | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2006-07-27 |
| 1275531741 | Anna Michaele Wilson | Counselor | 1140 Herschell Bess Blvd, Poplar Bluff, MO 63901 | 2005-07-08 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on MISS MARY BETH HALDEMAN.
| 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.