| Branson Counseling Center, Llc | |
|
574 State Highway 248 Suite 2 Branson MO 65616-7740 | |
| (417) 239-1389 | |
| (417) 332-8680 |
| Full Name | Branson Counseling Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 574 State Highway 248, Branson, Missouri |
| Authorized Official Name and Position | Catherine Lea Boling (CO-OWNER/THERAPIST) |
| Authorized Official Contact | 4172391389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branson Counseling Center, Llc 574 State Highway 248 Suite 2 Branson MO 65616-7740 Ph: (417) 239-1389 | Branson Counseling Center, Llc 574 State Highway 248 Suite 2 Branson MO 65616-7740 Ph: (417) 239-1389 |
| NPI Number | 1346412327 |
|---|---|
| Provider Enumeration Date | 03/30/2008 |
| Last Update Date | 05/19/2008 |
| 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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