MEDICARE: LANEY NESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2026017869	MO

General Provider Information

NPI Number	:	1770412769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANEY NESS

Provider Business Mailing Address
First Line	:	PO BOX 1359
Second Line	:
City	:	AVA
State	:	MO
Zip	:	65608-1359
Country	:	US
Telephone Number	:	417-683-5739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 C. NORTH MAIN STREET
Second Line	:
City	:	MOUNTAIN GROVE
State	:	MO
Zip	:	65711
Country	:	US
Telephone Number	:	417-926-1713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “ LANEY NESS ” Practice Location

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