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SYNERGY EXECUTIVE, LLC
NPI 1639633290
Substance Abuse Rehabilitation Facility in Ozark, MO

Active since January 29, 2019CLIA 26D2246027 · Waiver
2608 SMYRNA RD, OZARK, MO 65721(417) 812-4440(417) 208-5880 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Synergy Executive, Llc NPPES

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

SYNERGY EXECUTIVE, LLC (NPI 1639633290) is a healthcare organization registered as a substance abuse rehabilitation facility in Ozark, Missouri and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Paige Tuck, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1639633290
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSYNERGY EXECUTIVE, LLC
Location Address2608 SMYRNA RDOzark, MO 65721-7674
Mailing Address2608 Smyrna RoadOzark, MO 65721 · (417) 838-0894
Phone(417) 812-4440
Fax(417) 208-5880
Organization SubpartNo
Authorized OfficialPaige TuckExecutive Director · (417) 551-9192
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
✔ NPI 1639633290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
2608 SMYRNA RD, Ozark, MO 65721
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Other Identifiers 1

Other2849MO · Dept. Of Mental Health/dbh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2246027

Synergy Executive · Ozark, MO
Active · expires Dec 19, 2027
CLIA Number26D2246027
Laboratory TypeResidential Treatment Fac
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorAnn M. Koetting
Laboratory Phone(417) 551-9192
Laboratory LocationSynergy Executive2608 Smyrna Rd, Ozark, MO 65721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. ANDREW EVERETT WHITE LCSW
Social Worker (Clinical)
2608 SMYRNA RD
OZARK, MO 65721
Christian County (417) 551-9197

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 Synergy Executive, LLC's NPI number?

The NPI number for Synergy Executive, LLC is 1639633290. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Synergy Executive, LLC located?

Synergy Executive, LLC is located at 2608 Smyrna Rd, Ozark, MO 65721. The listed phone number is (417) 812-4440.

What is Synergy Executive, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Synergy Executive, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2246027) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Synergy Executive, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Synergy Executive, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Synergy Executive, LLC was last updated on July 31, 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.