Healthcare Provider Details

I. General information

NPI: 1366385494
Provider Name (Legal Business Name): TEAM BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 S 1ST ST
EL DORADO SPRINGS MO
64744-1862
US

IV. Provider business mailing address

1800 S PARK ST
EL DORADO SPRINGS MO
64744-2200
US

V. Phone/Fax

Practice location:
  • Phone: 417-576-0845
  • Fax:
Mailing address:
  • Phone: 417-576-0845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DUSTIN EUGENE SHUMAKER
Title or Position: OWNER
Credential:
Phone: 417-576-0845