Healthcare Provider Details

I. General information

NPI: 1013742097
Provider Name (Legal Business Name): FROM WITHIN COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 S MORLEY ST
MOBERLY MO
65270-2123
US

IV. Provider business mailing address

5556 N ROCKY FORK DR
COLUMBIA MO
65202-9742
US

V. Phone/Fax

Practice location:
  • Phone: 573-424-2826
  • Fax: 660-269-9578
Mailing address:
  • Phone: 573-424-2826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMBER ROSE SCHILB
Title or Position: OWNER/CEO
Credential: M.ED., LPC
Phone: 573-424-2826