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General NPI Number Information
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NPI Number | 1073420287
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Entity Type | Organization
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Legal Business Name | OZARK SUNRISE MENTAL WELLNESS
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 8598 ROUTE B
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City | GOODMAN
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State | MO
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Zip | 64843-8125
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Country | US
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Telephone | 314-957-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 8598 ROUTE B
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City | GOODMAN
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State | MO
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Zip | 64843-8125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | EMILIE BELT
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Credential | LPC
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Telephone | 314-957-8247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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