NPI: 1104102557 · PARK HILLS, MO 63601 · Community/Behavioral Health Agency · NPI assigned 10/31/2011
| Authorized Official | WAGGONER, KATHY (OWNER/CLINICAL SUPERVISOR) |
| NPI Enumeration Date | 10/31/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31 | $1K |
| 2019 | 22 | $773.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 53 | 25 | $2K |