Healthcare Provider Details

I. General information

NPI: 1114922242
Provider Name (Legal Business Name): BETTY ACREE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 E BROADWAY STE 313
COLUMBIA MO
65201-6082
US

IV. Provider business mailing address

2100 E BROADWAY STE 313
COLUMBIA MO
65201-6082
US

V. Phone/Fax

Practice location:
  • Phone: 573-256-2914
  • Fax: 573-256-6214
Mailing address:
  • Phone: 573-256-2914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001077
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number300125
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: