Countryside Counseling Llc

LBN: Countryside Counseling Llc
Countryside Counseling Llc is an health care organization with primary practice located at 313 South Ave Ste 405 , Springfield MO 65806-2255. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Countryside Counseling Llc can be contacted via phone (417) 597-4685, or through Freeman, Joshua Edward via phone (417) 597-4685.

Contact Information

Primary practice address
313 South Ave Ste 405 Springfield MO 65806-2255
Phone: (417) 597-4685
Fax: (855) 437-0772
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Joshua Edward Licensed Clinical Social Worker (LCSW)
Phone: (417) 597-4685

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1891381216
LBN Legal business name Countryside Counseling Llc
DBA Doing business as
Authorized official Freeman, Joshua Edward Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2020
Last updated Dec 30th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891381216 NPPES
Missouri MEDICAID 1245796440

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