MEDICARE: SPRINGS THERAPY SERVICES

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1194471219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGS THERAPY SERVICES

Provider Business Mailing Address
First Line	:	801 NW SAINT MARY DR STE 206
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-744-0609
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NW SAINT MARY DR STE 206
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-744-0609
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANELLE DEBLOCK
Credential	:	LPC
Telephone Number	:	816-517-0010

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	08/31/2022

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Directions to “SPRINGS THERAPY SERVICES ” Practice Location

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