MISS MARY BETH HALDEMAN LPC
NPI 1417088220
Counselor - Professional in Poplar Bluff, MO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since March 07, 2007

3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200(573) 686-1029 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miss Mary Beth Haldeman Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARY BETH HALDEMAN LPC (NPI 1417088220) is an individual professional provider in Poplar Bluff, Missouri, licensed in Missouri (2007002228) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417088220

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS MARY BETH HALDEMANCredential: LPC

Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685

Mailing AddressPo Box 280Poplar Bluff, MO 63902-0280 · (573) 686-1200 · Fax (573) 686-1029

Phone(573) 686-1200

Fax(573) 686-1029

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateMarch 12, 2009

✔ NPI 1417088220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2007002228

3001 WARRIOR LN, Poplar Bluff, MO 63901

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Other Identifiers 3

Other2651Eap Impact

Medicaid494914906MO

Other11792021Caqh

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ROBIN DENISE VICKERY LPC

Counselor (Professional)