SOPHIA D GREENWALT MS, PLPC
NPI 1356214522
Counselor - Professional in Versailles, MO

Active since September 24, 2025
112 N STATE HIGHWAY 5, VERSAILLES, MO 65084(573) 378-6222 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About SOPHIA GREENWALT

This page provides the complete NPI Profile along with additional information for Sophia Greenwalt, a provider established in Versailles, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1356214522 assigned on September 2025. The practitioner's primary taxonomy code is 101YP2500X with license number 2025043823 (MO). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1356214522 Verify this NPI
Provider Name
SOPHIA D GREENWALT MS, PLPC
Other Name
SOPHIA AYCOCK
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
112 N STATE HIGHWAY 5 VERSAILLES, MO 65084
Location Phone
(573) 378-6222
Mailing Address
2885 W BATTLEFIELD ST SPRINGFIELD, MO 65807
Mailing Phone
(417) 761-5000
Is Sole Proprietor?
No
Enumeration Date
09-24-2025
Last Update Date
10-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
2025043823
License State
MO

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
112 N STATE HIGHWAY 5
VERSAILLES, MO 65084
Marriage & Family Therapist
112 N STATE HIGHWAY 5
VERSAILLES, MO 65084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356214522, enumerated as an "individual" on September 24, 2025.

The provider is located at 112 N STATE HIGHWAY 5 VERSAILLES, MO 65084 and the phone number is (573) 378-6222.

Counselor with taxonomy code 101YP2500X and a focus in Professional.