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General NPI Number Information
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NPI Number | 1871897728
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Entity Type | Organization
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Legal Business Name | OZARK MOUNTAIN COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 404-5 STATE HWY. 248 SUITE 5
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City | CASSVILLE
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State | MO
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Zip | 65625-9615
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Country | US
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Telephone | 417-846-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 404 STATE HWY 248 SUITE 5
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City | CASSVILLE
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State | MO
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Zip | 65625-9615
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Country | US
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Telephone | 417-846-0700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA S. BEST
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Credential | LCSW
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Telephone | 417-846-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | SW001710
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License Number State | MO
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