Healthcare Provider Details

I. General information

NPI: 1871988477
Provider Name (Legal Business Name): ARTI DAUTENHAHN MA, PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13160 COUNTY ROAD 3610
SAINT JAMES MO
65559-9151
US

IV. Provider business mailing address

PO BOX 189
SAINT JAMES MO
65559-0189
US

V. Phone/Fax

Practice location:
  • Phone: 573-265-3251
  • Fax:
Mailing address:
  • Phone: 573-265-3251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberTLC1958PC
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC6171
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2014041544
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: