Healthcare Provider Details

I. General information

NPI: 1750504544
Provider Name (Legal Business Name): BARBARA K. HYLTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CC COUNSELING SERVICES 380 EAST HIGHWAY CC SUITE A105
NIXA MO
65714
US

IV. Provider business mailing address

3404 N 12TH ST
OZARK MO
65721-5704
US

V. Phone/Fax

Practice location:
  • Phone: 417-725-8810
  • Fax: 417-725-6206
Mailing address:
  • Phone: 417-581-2554
  • Fax: 417-485-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2006033086
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. BARBARA K HYLTON
Title or Position: SUPERVISOR
Credential:
Phone: 417-725-8810