| Brookeside Counseling Services | |
|
1450 Tower Rd Lebanon MO 65536-9280 | |
| (417) 718-1180 | |
| Not Available |
| Full Name | Brookeside Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1450 Tower Rd, Lebanon, Missouri |
| Authorized Official Name and Position | Lori Ranfeld (OWNER) |
| Authorized Official Contact | 4177181180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookeside Counseling Services 23604 Red Oak Dr Lebanon MO 65536-5892 Ph: (417) 718-1180 | Brookeside Counseling Services 1450 Tower Rd Lebanon MO 65536-9280 Ph: (417) 718-1180 |
| NPI Number | 1053180232 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053180232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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