SOUTHERN LIGHT COMMUNITY COUNSELING
NPI 1700302353
Counselor - Professional in Bolivar, MO

Q: What is Southern Light Community Counseling's NPI number?

The NPI number for Southern Light Community Counseling is 1700302353. It was assigned to this organization in the NPPES registry on August 16, 2017.

Q: What is Southern Light Community Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since August 16, 2017

1901 WOMMACK AVE, BOLIVAR, MO 65613(417) 850-4555(417) 777-7017 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Southern Light Community Counseling NPPES

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

SOUTHERN LIGHT COMMUNITY COUNSELING (NPI 1700302353) is a healthcare organization registered as a professional in Bolivar, Missouri and active in the NPI registry since August 2017. The organization lists Cindy Drake, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1700302353

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameSOUTHERN LIGHT COMMUNITY COUNSELING

Location Address1901 WOMMACK AVEBolivar, MO 65613-3128

Mailing Address707 S Pearl AveJoplin, MO 64801-4334 · (417) 850-4555 · Fax (417) 777-7017

Phone(417) 850-4555

Fax(417) 777-7017

Organization SubpartNo

Authorized OfficialCindy DrakeAdministrative Director · (417) 850-4555

Enumeration DateAugust 16, 2017

✔ NPI 1700302353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

1901 WOMMACK AVE, Bolivar, MO 65613

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

FATINO COUNSELING, LLC

Counselor (Addiction (Substance Use Disorder))

1901 WOMMACK AVE
BOLIVAR, MO 65613

Polk County (417) 766-8090

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 Southern Light Community Counseling's NPI number?

The NPI number for Southern Light Community Counseling is 1700302353. It was assigned to this organization in the NPPES registry on August 16, 2017.

Where is Southern Light Community Counseling located?

Southern Light Community Counseling is located at 1901 Wommack Ave, Bolivar, MO 65613. The listed phone number is (417) 850-4555.

What is Southern Light Community Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Southern Light Community Counseling was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.