MY PLACE TOO, INC (NPI# 1750616199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750616199 |
| Entity Type | Organization |
| Organization Name | MY PLACE TOO, INC |
| Practice Address |
1107 Clarke St De Soto MO 63020-2709 |
| Mailing Address |
23 N 6th St Festus MO 63028-1301 |
| Practice Telephone | 6365867871 |
| Mailing Telephone | 6369331793 |
| Mailing Fax Number | 6369336446 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | MARY L CASEY (ADMINISTRATOR) |
| Authorized Official Telephone | 6365267871 |
| Authorized Official Credential | LPN, LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PENDING | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DEPT HEALTH & SENIOR SERVICES | 037346 | 01 |
| MO | DEPT OF MENTAL HEALTH | PENDING | 01 |
| Street Address |
1107 CLARKE ST |
| City | DE SOTO |
| State | MO |
| Zip Code | 63020-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588865588 | Loving Care Rest Home, Inc. | Assisted Living Facility | 1107 Clarke St, De Soto, MO 63020-2709 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435385 | Patsy Maness | Technician | 5100 Knorpp Road, De Soto, MO 63020 | 2019-09-06 |
| 1013268911 | Jane Susann Brenneke | Counselor | 116 B 2nd Street, Desoto, MO 63020 | 2012-10-02 |
| 1477634277 | Wal-mart Stores East, Lp | Technician/Technologist | 12862 State Road 21, De Soto, MO 63020 | 2006-10-18 |
| 1235109877 | John W Dickinson | Dentist | 704 N Main Street, Desoto, MO 63020 | 2006-01-25 |
| 1700883253 | Valle Ambulance District | Ambulance | 12363 State Route 21, De Soto, MO 63020 | 2005-06-30 |
| 1568893105 | Terence A. Friskel | Dentist | 110 North Main, Desoto, MO 63020 | 2013-12-09 |
| 1457541427 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12977 State Route 21, De Soto, MO 63020-1000 | 2007-07-26 |
| 1982880084 | Thomas L. Monje, O.d. | Optometrist | 26 Jefferson Sq, De Soto, MO 63020-1031 | 2008-01-18 |
| 1548266737 | Steven Crawford | Family Medicine | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2005-06-22 |
| 1720595200 | Danielle Marie Howerton | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2018-01-05 |
| Find all providers in zip 63020 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| 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] |
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| 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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| 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.