Healthcare Provider Details

I. General information

NPI: 1114876869
Provider Name (Legal Business Name): NURTURE THERAPY LLC DBA CREATIVE COUNSELING OF THE OZARKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 SPUR DR STE 270
MARSHFIELD MO
65706-2399
US

IV. Provider business mailing address

1350 SPUR DR STE 270
MARSHFIELD MO
65706-2399
US

V. Phone/Fax

Practice location:
  • Phone: 417-501-9112
  • Fax: 417-501-9112
Mailing address:
  • Phone: 417-501-9112
  • Fax: 417-501-9112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DESIREE DEE YOUNG
Title or Position: OWNER
Credential: LPC
Phone: 417-844-4551