Healthcare Provider Details

I. General information

NPI: 1528353141
Provider Name (Legal Business Name): ALL THINGS NEW COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1856 N COMMERCE DR
NIXA MO
65714-7603
US

IV. Provider business mailing address

1856 N COMMERCE DR
NIXA MO
65714-7603
US

V. Phone/Fax

Practice location:
  • Phone: 417-848-5574
  • Fax: 417-633-7170
Mailing address:
  • Phone: 417-848-5574
  • Fax: 417-633-7170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2002020631
License Number StateMO

VIII. Authorized Official

Name: MS. JANELL KRISTIN MCINTYRE
Title or Position: OWNER
Credential: LPC
Phone: 417-848-5574