Healthcare Provider Details

I. General information

NPI: 1366025140
Provider Name (Legal Business Name): EVERY PERSON MATTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 N MISSOURI ST
POTOSI MO
63664-1750
US

IV. Provider business mailing address

PO BOX 215
POTOSI MO
63664-0215
US

V. Phone/Fax

Practice location:
  • Phone: 573-210-4959
  • Fax:
Mailing address:
  • Phone: 573-210-4959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER RYAN MASSEY
Title or Position: OWNER/THERAPIST
Credential: MSW, LCSW
Phone: 573-210-4959