Osborne, Beverly G
Osborne, Beverly G is an individual health care provider with primary practice located at 410 W Main St , Festus MO 63028. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Osborne, Beverly G can be contacted via phone (636) 933-9590.Contact Information
Primary practice address
410 W Main St
Festus MO 63028
Phone: (636) 933-9590
Fax: (636) 933-9641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001379 | Missouri |
Profile Details
| NPI number | 1972678365 |
|---|---|
| LBN Legal business name | Osborne, Beverly G |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Dec 13th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972678365 | NPPES |
| Missouri | MEDICAID | 493364517 |
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