Jefferson City Outpatient Clinic
LBN: Family Counseling Center Of Missouri Inc
Jefferson City Outpatient Clinic is an health care organization with primary practice located at 204 Metro Dr Suite B, Jefferson City MO 65109-4408. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Ambulatory Health Care Facilities / Clinic/Center. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty.
Family Counseling Center Of Missouri Inc can be contacted via phone (573) 634-4591, or through Tacker, Allen via phone (573) 443-2204.
Contact Information
Primary practice address
204 Metro Dr Suite B
Jefferson City MO 65109-4408
Phone: (573) 634-4591
Fax: (573) 634-4792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
NPI number | 1467597872 |
---|---|
LBN Legal business name | Family Counseling Center Of Missouri Inc |
DBA Doing business as | Jefferson City Outpatient Clinic |
Authorized official | Tacker, Allen PH.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Aug 22nd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467597872 | NPPES |
Missouri | Other | 1649269622 | FCCMO BILLING NPI NUMBER |
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