SOUTHERN LIGHT RESIDENTIAL
NPI 1801312459
Counselor - Professional in Bolivar, MO
- Organization
- Counselor
- Professional
About SOUTHERN LIGHT RESIDENTIAL
This page provides the complete NPI Profile along with additional information for Southern Light Residential, a provider established in Bolivar, Missouri operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1801312459 assigned on August 2017. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Cindy Drake (Admin Director)
- NPI
- 1801312459 Verify this NPI
- Provider Name
- SOUTHERN LIGHT RESIDENTIAL
- Entity Type
- Organization
- Location Address
- 1211 E BROADWAY ST BOLIVAR, MO 65613
- Location Phone
- (417) 850-4555
- Location Fax
- (417) 777-7017
- Mailing Address
- 707 S PEARL AVE JOPLIN, MO 64801
- Mailing Phone
- (417) 850-4555
- Mailing Fax
- (417) 777-7017
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2017
- Last Update Date
- 08-16-2017
- Code Navigator
Location Map
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
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
BOLIVAR, MO 65613
BOLIVAR, MO 65613
BOLIVAR, MO 65613
BOLIVAR, MO 65613
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801312459, enumerated as an "organization" on August 16, 2017.
The provider is located at 1211 E BROADWAY ST BOLIVAR, MO 65613 and the phone number is (417) 850-4555.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
