| General Council Of The Assemblies Of God | |
|
2032 E Kearney St Ste 214 Springfield MO 65803-4610 | |
| (417) 833-8300 | |
| (417) 869-1455 |
| Full Name | General Council Of The Assemblies Of God |
|---|---|
| Speciality | Psychologist |
| Location | 2032 E Kearney St, Springfield, Missouri |
| Authorized Official Name and Position | Timothy P Lyons (DIRECTOR) |
| Authorized Official Contact | 4178338300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Council Of The Assemblies Of God 2032 E Kearney St Ste 214 Springfield MO 65803-4610 Ph: (417) 833-8300 | General Council Of The Assemblies Of God 2032 E Kearney St Ste 214 Springfield MO 65803-4610 Ph: (417) 833-8300 |
| NPI Number | 1164587002 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164587002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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