Healthcare Provider Details

I. General information

NPI: 1366354284
Provider Name (Legal Business Name): THE HERIFORD HOUSE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 HERIFORD RD
COLUMBIA MO
65202-1942
US

IV. Provider business mailing address

1804 HERIFORD RD
COLUMBIA MO
65202-1942
US

V. Phone/Fax

Practice location:
  • Phone: 573-639-1094
  • Fax: 573-639-1094
Mailing address:
  • Phone: 573-639-1094
  • Fax: 573-639-1094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MELISSA WILLIAMS
Title or Position: TREASURER
Credential: LPC
Phone: 573-639-8619