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General NPI Number Information
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NPI Number | 1144885781
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Entity Type | Organization
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Legal Business Name | HOPE FOR FAMILIES
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 226 S ASH ST
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City | NEVADA
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State | MO
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Zip | 64772-3119
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Country | US
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Telephone | 417-321-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 216 W CHERRY ST
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City | NEVADA
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State | MO
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Zip | 64772-3362
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Country | US
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Telephone | 417-448-8960
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Fax | 417-448-6555
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Authorized Official
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Title or Position | OWNER & PRES
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Name | KIMBERLY SUE DELGADO
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Credential | PSY D, LPC
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Telephone | 417-321-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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