| NPI | 1285906107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LORA STINNETT VP Of Therapy Services 417-324-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 101Y00000X Counselor | |
| 101YP2500X Counselor Professional | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2025-09-02 |