Healthcare Provider Details

I. General information

NPI: 1063348878
Provider Name (Legal Business Name): CHRISTOPHER TODD BEKAS PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 W DIANE ST
OZARK MO
65721-8425
US

IV. Provider business mailing address

1562 W DIANE ST
OZARK MO
65721-8425
US

V. Phone/Fax

Practice location:
  • Phone: 417-470-2156
  • Fax:
Mailing address:
  • Phone: 417-470-2156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026025471
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: