Healthcare Provider Details

I. General information

NPI: 1104849983
Provider Name (Legal Business Name): ANGELA ROSE BARTON-SCHERDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA BARTON

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 W CHAMP CLARK DR
BOWLING GREEN MO
63334-2034
US

IV. Provider business mailing address

818 W CHAMP CLARK DR
BOWLING GREEN MO
63334-2034
US

V. Phone/Fax

Practice location:
  • Phone: 573-324-5655
  • Fax: 573-324-5490
Mailing address:
  • Phone: 573-324-5655
  • Fax: 573-324-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2003023378
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: