Healthcare Provider Details

I. General information

NPI: 1205764461
Provider Name (Legal Business Name): CALLIE SCHOLTING PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 FORUM BLVD STE 4A
COLUMBIA MO
65203-5468
US

IV. Provider business mailing address

1402 WEBSTER DR
MEXICO MO
65265-2261
US

V. Phone/Fax

Practice location:
  • Phone: 573-721-9922
  • Fax:
Mailing address:
  • Phone: 573-721-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2025018783
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: