Healthcare Provider Details

I. General information

NPI: 1437925013
Provider Name (Legal Business Name): DAWN RANSDELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 W YOUNG AVE STE A
WARRENSBURG MO
64093-1111
US

IV. Provider business mailing address

408 10TH TER
WARRENSBURG MO
64093-2516
US

V. Phone/Fax

Practice location:
  • Phone: 314-405-0442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: