| Living Springs Counseling Center Llc | |
|
5290 E 7th St Joplin MO 64801-8757 | |
| (417) 439-3334 | |
| Not Available |
| Full Name | Living Springs Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5290 E 7th St, Joplin, Missouri |
| Authorized Official Name and Position | David Michael Wermuth (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4174393334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Springs Counseling Center Llc 5290 E 7th St Joplin MO 64801-8757 Ph: (417) 623-6134 | Living Springs Counseling Center Llc 5290 E 7th St Joplin MO 64801-8757 Ph: (417) 439-3334 |
| NPI Number | 1679280408 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 01/30/2023 |
| Certification Date | 11/28/2022 |
| Medicare PECOS PAC ID | 6507238326 |
|---|---|
| Medicare Enrollment ID | O20230517000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679280408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Wermuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861000283 PECOS PAC ID: 8224400049 Enrollment ID: I20230517000425 |
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