| Doctor Name: | ERIC JOSEPH STAPLES |
| NPI Number: | 1043554934 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 2013004224 |
| Business Practice Address: | 400 S Sunshine St Branson, MO - 656162518 |
| Business Phone Number: | 4173347437 |
| Business Fax Number: | 4173352273 |
| Mailing Address: | 400 South Sunshine St., First Baptist Church-branson BRANSON |
| State: | MO |
| Postal Code: | 656162518 |
| Phone Number: | 4173347437 |
| Fax Number: | 4173352273 |
| NPI Enumeration Date: | 11/16/2012 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 2013004224 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |