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FORMING FRIENDSHIPS LLC
NPI 1396257408
Community/Behavioral Health in Hillsboro, MO

Active since October 30, 2017
171 ROBERTS DR, HILLSBORO, MO 63050(314) 297-0793(314) 202-5441 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2019, Oct 30, 2017 (2 updates tracked since 2017).

About Forming Friendships Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMING FRIENDSHIPS LLC (NPI 1396257408) is a healthcare organization registered as a community/behavioral health in Hillsboro, Missouri and active in the NPI registry since October 2017. The organization lists Katherine A Petefish, Owner/behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1396257408
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFORMING FRIENDSHIPS LLC
Location Address171 ROBERTS DRHillsboro, MO 63050-4120
Mailing Address171 Roberts DrHillsboro, MO 63050-4120
Phone(314) 297-0793
Fax(314) 202-5441
Organization SubpartNo
Authorized OfficialKatherine A PetefishOwner/behavior Analyst · (314) 297-0793
Enumeration DateOctober 30, 2017
Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration
✔ NPI 1396257408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MO · 2015044940
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
171 ROBERTS DR, Hillsboro, MO 63050
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Other Identifiers 1

Medicaid500052076MO

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SEAN JOSEPH LUKETICH
Behavior Technician
171 ROBERTS DR
HILLSBORO, MO 63050
Jefferson County (314) 297-0793
KIERSTEN KATHLEEN JONES
Behavior Technician
171 ROBERTS DR
HILLSBORO, MO 63050
Jefferson County (314) 297-0793
KATELYN MARIE BIERMANN
Behavior Technician
171 ROBERTS DR
HILLSBORO, MO 63050
Jefferson County (314) 297-0793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forming Friendships LLC's NPI number?

The NPI number for Forming Friendships LLC is 1396257408. It was assigned to this organization in the NPPES registry on October 30, 2017.

Where is Forming Friendships LLC located?

Forming Friendships LLC is located at 171 Roberts Dr, Hillsboro, MO 63050. The listed phone number is (314) 297-0793.

What is Forming Friendships LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Forming Friendships LLC was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.