| Lifespan Counseling Center | |
|
625 Missouri Ave Sullivan MO 63080-1537 | |
| (573) 468-2121 | |
| (573) 468-6121 |
| Full Name | Lifespan Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 625 Missouri Ave, Sullivan, Missouri |
| Authorized Official Name and Position | Doris Hallam (COUNSELOR/OWNER) |
| Authorized Official Contact | 5734682121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling Center 625 Missouri Ave Sullivan MO 63080-1537 Ph: (573) 468-2121 | Lifespan Counseling Center 625 Missouri Ave Sullivan MO 63080-1537 Ph: (573) 468-2121 |
| NPI Number | 1093157778 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093157778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2008012437 (Missouri) | Primary |
Advanced Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Sappington Ridge Rd, Sullivan, MO 63080 Phone: 636-931-4206 Fax: 636-931-5774 | |
Missouri Baptist Sullivan Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 751 Sappington Bridge Rd, Sullivan, MO 63080 Phone: 573-468-4186 Fax: 573-860-2696 |