1952433120 NPI number — BEHAVIORAL HEALTH CONSULTANTS, LLP

Table of content: (NPI 1952433120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952433120 NPI number — BEHAVIORAL HEALTH CONSULTANTS, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEHAVIORAL HEALTH CONSULTANTS, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952433120
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 287
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAPPAPELLO
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63966-0287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-998-2524
Provider Business Mailing Address Fax Number:
573-998-2524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6219 HIGHWAY O
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLIAMSVILLE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63967-9110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-998-2524
Provider Business Practice Location Address Fax Number:
573-998-2524
Provider Enumeration Date:
03/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STEPHENS
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
DENISE
Authorized Official Title or Position:
GENERAL PARTNER
Authorized Official Telephone Number:
573-998-2524

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  002063 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 101YP2500X , with the licence number: 002041 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 101YP2500X , with the licence number: CS002063 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: 2003032207 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)