Healthcare Provider Details

I. General information

NPI: 1053961763
Provider Name (Legal Business Name): ALANA CUMMINGS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2019
Last Update Date: 11/24/2022
Certification Date: 11/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CORPORATE PL STE M-1
BRANSON MO
65616-9138
US

IV. Provider business mailing address

225 CORPORATE PL STE M-1
BRANSON MO
65616-9138
US

V. Phone/Fax

Practice location:
  • Phone: 417-501-9990
  • Fax:
Mailing address:
  • Phone: 417-501-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2017030721
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: