=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851117105
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREATER EXPECTATIONS OF THE OZARKS SOUND DECISION COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2024
-----------------------------------------------------
Last Update Date | 01/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9299 SUNNY SLOPE LN DBA GREATER EXPECTATIONS OF THE OZARKS
-----------------------------------------------------
City | MOUNTAIN GROVE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65711-6292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-755-0040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | SHERI ORCHARD SLOAN 9299 SUNNY SLOPE LN
-----------------------------------------------------
City | MOUNTAIN GROVE
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65711-6292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 417-755-0040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | SHERI R ORCHARD-SLOAN, LPC
-----------------------------------------------------
Credential | M.S., LPC, NBCC
-----------------------------------------------------
Telephone | 417-755-0040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------