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General NPI Number Information
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NPI Number | 1831046655
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Entity Type | Organization
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Legal Business Name | POWERHOUSE COMMUNITY DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 601 W BUSINESS LOOP 70 STE 204
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City | COLUMBIA
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State | MO
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Zip | 65203-2546
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Country | US
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Telephone | 573-723-6030
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Fax | 573-723-6030
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Provider Business Mailing Address
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Address Line | 601 W BUSINESS LOOP 70 STE 204
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City | COLUMBIA
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State | MO
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Zip | 65203-2546
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Country | US
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Telephone | 573-723-6030
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Fax | 573-723-6030
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES L STEPHENSON
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Credential | MAADC II
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Telephone | 913-549-8382
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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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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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