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General NPI Number Information
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NPI Number | 1831071554
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Entity Type | Organization
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Legal Business Name | CENTER FOR COUNSELING AND THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1401 S ELLIOTT AVE
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City | AURORA
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State | MO
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Zip | 65605-2103
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Country | US
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Telephone | 417-569-2143
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Fax | 417-855-2170
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Provider Business Mailing Address
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Address Line | PO BOX 1027
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City | AURORA
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State | MO
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Zip | 65605-4027
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Country | US
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Telephone | 417-569-2143
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Fax | 417-855-2170
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEDE CARSON
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Credential | LCSW
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Telephone | 417-569-2143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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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