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Mrs. Sandra Kay Wheetley, LPC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri
NPI 1104190511

Sandra Kay Wheetley is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dexter, MO. Sandra Kay Wheetley practices in Poplar Bluff, MO and has the professional credentials of LPC. The NPI Number for Sandra Kay Wheetley is 1104190511 and holds a License No. 002735 (Missouri).

The current practice location address for Sandra Kay Wheetley is 101 S Main St, Poplar Bluff, MO and can be reached out via phone at 573-624-6937.

Location: 101 S Main St, Poplar Bluff, MO, 63841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104190511
Provider Name
Sandra Kay Wheetley
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
101 S Main St, Poplar Bluff, MO, 63841
Phone Number
573-624-6937
Fax Number
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 S Main St
City
Poplar Bluff
State
Missouri
Zip
63901-5843
Phone Number
573-624-6937
Fax Number
person
Provider Business Mailing Address Details
Address
101 S Main St
City
Poplar Bluff
State
Missouri
Zip
63901-5843
Phone Number
573-624-6937
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
002735 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
002735 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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