| Center For Life Coaching And Counseling, Llc | |
|
1401 S Elliott Ave Aurora MO 65605-2103 | |
| (417) 671-9856 | |
| (417) 671-9881 |
| Full Name | Center For Life Coaching And Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1401 S Elliott Ave, Aurora, Missouri |
| Authorized Official Name and Position | Judith C. Adams (OWNER) |
| Authorized Official Contact | 4176719856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Life Coaching And Counseling, Llc 491 Charity School Rd Crane MO 65633-8179 Ph: (417) 671-9856 | Center For Life Coaching And Counseling, Llc 1401 S Elliott Ave Aurora MO 65605-2103 Ph: (417) 671-9856 |
| NPI Number | 1154515153 |
|---|---|
| Provider Enumeration Date | 09/02/2007 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 1052577525 |
|---|---|
| Medicare Enrollment ID | O20120727000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154515153 | NPI | - | NPPES |
| 490749108 | Medicaid | MO | |
| 1346370616 | Other | MO | NPI, INDIVIDUAL |
| 501336705 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101YP2500X (Missouri) | Secondary |
| 251S00000X | Community/behavioral Health | 2006009253 (Missouri) | Primary |
| Provider Name | Barbara M Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548697139 PECOS PAC ID: 7618252487 Enrollment ID: I20170308002453 |
| Provider Name | Meghan Roetto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285145730 PECOS PAC ID: 8921361676 Enrollment ID: I20180411002705 |
| Provider Name | Dede Elaine Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982245825 PECOS PAC ID: 4587820063 Enrollment ID: I20240313000638 |
Lifecare Family Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S Madison Ave, Aurora, MO 65605 Phone: 417-678-6233 Fax: 417-678-6232 | |
Kingdom Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S Madison Ave, Aurora, MO 65605 Phone: 417-229-2548 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 W Church St, Aurora, MO 65605 Phone: 417-467-0680 Fax: 417-678-1195 | |
Center For Psychological Health And Well-being Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 W Church St, Aurora, MO 65605 Phone: 417-678-5532 Fax: 417-678-6242 | |
Karah D Young, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Elliott Ave, Aurora, MO 65605 Phone: 417-880-7310 | |
Thrive Autism Solutions, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1051 E Church St, Aurora, MO 65605 Phone: 476-222-1942 |