Healthcare Provider Details

I. General information

NPI: 1851133177
Provider Name (Legal Business Name): THE JOURNEY TO PEACE OF MIND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W 4TH ST
APPLETON CITY MO
64724-1402
US

IV. Provider business mailing address

106 W 4TH ST
APPLETON CITY MO
64724-1402
US

V. Phone/Fax

Practice location:
  • Phone: 660-207-8182
  • Fax: 660-476-5749
Mailing address:
  • Phone: 660-207-8182
  • Fax: 660-476-5749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DELANA ANN POORE
Title or Position: OWNER
Credential: LPC, RPT
Phone: 660-207-8182