| Eight Domains Therapy, Llc | |
|
1500 Fellows Pl Apt 3c Columbia MO 65201-8529 | |
| (573) 212-4456 | |
| Not Available |
| Full Name | Eight Domains Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1500 Fellows Pl Apt 3c, Columbia, Missouri |
| Authorized Official Name and Position | Amber Liponoga (THERAPIST) |
| Authorized Official Contact | 5738232842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eight Domains Therapy, Llc 1500 Fellows Pl Apt 3c Columbia MO 65201-8529 Ph: (573) 212-4456 | Eight Domains Therapy, Llc 1500 Fellows Pl Apt 3c Columbia MO 65201-8529 Ph: (573) 212-4456 |
| NPI Number | 1730767542 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 07/23/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730767542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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