Healthcare Provider Details

I. General information

NPI: 1285126847
Provider Name (Legal Business Name): ANXIETY & DEPRESSION CLINIC OF COLUMBIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 FORUM BLVD STE G
COLUMBIA MO
65203-6343
US

IV. Provider business mailing address

2600 FORUM BLVD STE G
COLUMBIA MO
65203-6343
US

V. Phone/Fax

Practice location:
  • Phone: 573-239-9915
  • Fax: 573-340-1028
Mailing address:
  • Phone: 573-239-9915
  • Fax: 573-340-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2010042076
License Number StateMO

VIII. Authorized Official

Name: JARED B TORBET
Title or Position: OWNER / CLINICAL DIRECTOR
Credential: LPC
Phone: 573-239-9915