Healthcare Provider Details

I. General information

NPI: 1417882341
Provider Name (Legal Business Name): LAURA LEE BUCHHEIT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 W MAIN ST
JACKSON MO
63755-1979
US

IV. Provider business mailing address

306 DOWLING DR
PERRYVILLE MO
63775-2779
US

V. Phone/Fax

Practice location:
  • Phone: 573-846-0007
  • Fax:
Mailing address:
  • Phone: 573-768-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026008232
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: