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
Fax: (573) 634-4792
Website:
Authorized official contact:
Name: Tacker, Allen PH.D.

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467597872 NPPES
Missouri Other 1649269622 FCCMO BILLING NPI NUMBER

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