Midwest Behavioral Health, Llc

LBN: Midwest Behavioral Health, Llc
Midwest Behavioral Health, Llc is an health care organization with primary practice located at 116 S Lincoln Dr , Troy MO 63379-1418. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Midwest Behavioral Health, Llc can be contacted via phone (636) 528-1996, or through Davis, Carl via phone (660) 281-6601.

Contact Information

Primary practice address
116 S Lincoln Dr Troy MO 63379-1418
Phone: (636) 528-1996
Fax: (636) 528-1833
Website:
Map and Directions
Authorized official contact:
Name: Davis, Carl PSY.D.
Phone: (660) 281-6601

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1700820099
LBN Legal business name Midwest Behavioral Health, Llc
DBA Doing business as
Authorized official Davis, Carl PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700820099 NPPES
Missouri MEDICAID 504578303

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