Organization Name: | OZARK MOUNTAIN COUNSELING CENTER, LLC |
NPI Number: | 1871897728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA S. BEST (OWNER) |
Mailing Address: | 404-5 State Hwy. 248 Suite 5 Cassville |
State: | MO US |
Postal Code: | 656259615 |
Phone Number: | 4178460700 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2011 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | SW001710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |