=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053979369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMPERSAND COUNSELING & CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2019
-----------------------------------------------------
Last Update Date | 06/11/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 WESTOWNE ST
-----------------------------------------------------
City | LIBERTY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64068-1166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-287-0282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 WESTOWNE ST
-----------------------------------------------------
City | LIBERTY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64068-1166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-287-0282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | JOSHUA C CRESS
-----------------------------------------------------
Credential | LPC, NCC
-----------------------------------------------------
Telephone | 816-287-0282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------