| Branson Counseling Center, Llc | |
|
1310 E Kingsley St Ste D Springfield MO 65804-7233 | |
| (417) 239-1389 | |
| (417) 332-8680 |
| Full Name | Branson Counseling Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1310 E Kingsley St Ste D, Springfield, Missouri |
| Authorized Official Name and Position | Anne B. Summers (OWNER/THERAPIS) |
| Authorized Official Contact | 4178943992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branson Counseling Center, Llc 2403 E Cardinal St Springfield MO 65804-6875 Ph: (417) 894-3992 | Branson Counseling Center, Llc 1310 E Kingsley St Ste D Springfield MO 65804-7233 Ph: (417) 239-1389 |
| NPI Number | 1346412327 |
|---|---|
| Provider Enumeration Date | 03/30/2008 |
| Last Update Date | 11/29/2024 |
| Certification Date | 11/29/2024 |
| Medicare PECOS PAC ID | 4981776622 |
|---|---|
| Medicare Enrollment ID | O20080711000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346412327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001757 (Missouri) | Primary |
| Provider Name | Catherine L Boling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790949469 PECOS PAC ID: 2264504901 Enrollment ID: I20080711000498 |
| Provider Name | Anne B Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205160256 PECOS PAC ID: 0648441600 Enrollment ID: I20110922000611 |
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