Healthcare Provider Details

I. General information

NPI: 1497541304
Provider Name (Legal Business Name): FAMILY ADVOCACY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 W MCCORD ST
NEOSHO MO
64850-1424
US

IV. Provider business mailing address

516 W MCCORD ST
NEOSHO MO
64850-1424
US

V. Phone/Fax

Practice location:
  • Phone: 417-669-1256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN VELASQUEZ
Title or Position: DIRECTOR
Credential:
Phone: 417-669-1256