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MID-COUNTY PHYSICIANS, INC.

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1184764904

Organization Information:
Organization Name:  MID-COUNTY PHYSICIANS, INC.
Authorized Official:  DAVID L OHLMS  PRESIDENT  314-909-0211

Practice Location:
12166 OLD BIG BEND RD SUITE 100 KIRKWOOD, MO 63122-6844 US
Tel: 314-909-0211  Fax: 314-909-0323

Business Mailing Address:
12166 OLD BIG BEND RD SUITE 100 KIRKWOOD, MO 63122-6844 US
Tel: 314-909-0211  Fax: 314-909-0323

NPI Information:
NPI: 1184764904
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
X101YM0800XBehavioral Health & Social Service Providers
Counselor
X101YP2500XBehavioral Health & Social Service Providers
Counselor
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
X103TC1900XBehavioral Health & Social Service Providers
Psychologist
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
X103TF0000XBehavioral Health & Social Service Providers
Psychologist
X103T00000XBehavioral Health & Social Service Providers
Psychologist
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
X2084A0401XPhysicians
Psychiatry & Neurology
X2084P0800XPhysicians
Psychiatry & Neurology
X2084P0802XPhysicians
Psychiatry & Neurology
X2084P0804XPhysicians
Psychiatry & Neurology
X2084P0805XPhysicians
Psychiatry & Neurology

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARE GROUP IDCP9113MO01




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