Spring Grove Counseling

LBN: Spring Grove Counseling
Spring Grove Counseling is an health care organization with primary practice located at 211 A Oscar Drive , Jefferson City MO 65101-5167. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Spring Grove Counseling can be contacted via phone (573) 635-8299, or through Wieberg, Judy Kaye via phone (573) 635-8299.

Contact Information

Primary practice address
211 A Oscar Drive Jefferson City MO 65101-5167
Fax: (573) 635-4629
Website:
Authorized official contact:
Name: Wieberg, Judy Kaye LPC, LCSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 001621 Missouri
Behavioral Health & Social Service Providers / Social Worker 104100000X 002100 Missouri

Profile Details

NPI number 1922352012
LBN Legal business name Spring Grove Counseling
DBA Doing business as
Authorized official Wieberg, Judy Kaye LPC, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2012
Last updated Oct 29th, 2012 - about 12 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 1922352012 NPPES
Missouri MEDICAID 493361109

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