Prc Enterprises
Mental Retardation & Developmental Disabilities - Psychology Clinic
650 Vine St, Poplar Bluff
Missouri, 63901-5039
573-778-1126 573-785-4887
Maps & DirectionsPrc Enterprises is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Poplar Bluff, Missouri. It is located at 650 Vine St, Poplar Bluff, MO and its contact number is 573-778-1126. The authorized person for Prc Enterprises is Ms. Patricia Rose Campbell
who is Owner of the clinic and his/her contact number is 573-778-1126. The primary license number for Prc Enterprises is 14078480 (Mental Retardation & Developmental Disabilities) in Missouri.
Prc Enterprises Clinic
Complete Clinic Profile:
Prc Enterprises Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Prc Enterprises |
| Specialization: | Mental Retardation & Developmental Disabilities Psychology |
| Clinic Address: | 650 Vine St, Poplar Bluff,
Missouri, 63901-5039 |
| Phone: | 573-778-1126 |
| Fax: | 573-785-4887 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Patricia Rose Campbell |
| Position: | Owner |
| Contact Number: | 573-778-1126 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Prc Enterprises clinic are as mentioned below.
| NPI Number: | 1508925025 |
| NPI Enumeration Date: | 08 Dec, 2006 |
| NPI Last Update On: | 12 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prc Enterprises are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Retardation & Developmental Disabilities | 14078480 | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 193400000X | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Prc Enterprises
650 Vine St,
Poplar Bluff, Missouri |
| Zip: | 63901-5039 |
| Phone Number: | 573-778-1126 |
| Fax Number: | 573-785-4887 |
Patients can reach Prc Enterprises at
650 Vine St, Poplar Bluff, Missouri or can
call to book an appointment on 573-778-1126.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.