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NPI Code Detail

MEDICARE: LABRYON WILLIAMS COUNSELING, LLC

MEDICARE: LABRYON WILLIAMS COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1174082366
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABRYON WILLIAMS COUNSELING, LLC
Provider Business Mailing Address
First Line : 1736 E SUNSHINE ST STE 700
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-1333
Country : US
Telephone Number : 417-379-0387
Fax Number : 417-719-7973
Provider Business Practice Location Address
First Line : 1736 E SUNSHINE ST STE 700
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-1333
Country : US
Telephone Number : 417-409-3008
Fax Number : 417-719-7973
Authorized Official
Title or Position : OWNER
Name : LABRYON WILLIAMS
Credential :
Telephone Number : 417-409-3008
Provider Enumeration Date : 03/18/2019
Last Update Date : 02/12/2026

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