Doctor Name: | MRS. LALONNIE MARIE GROVES |
NPI Number: | 1346231743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | 2002012511 |
Business Practice Address: | 16208 Missouri Highway 13 Branson West, MO - 65737 |
Business Phone Number: | 4178604064 |
Business Fax Number: | |
Mailing Address: | 16208 Missouri Highway 13, BRANSON WEST |
State: | MO |
Postal Code: | 65737 |
Phone Number: | 4178604064 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2002012511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |