New Life Counseling Services Llc | |
3350 W Katella Ct Springfield MO 65807-3849 | |
(417) 536-6058 | |
(417) 883-2403 |
Full Name | New Life Counseling Services Llc |
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Speciality | Social Worker |
Location | 3350 W Katella Ct, Springfield, Missouri |
Authorized Official Name and Position | Curtis Leigh Jones (OWNER/ LCSW) |
Authorized Official Contact | 4175366058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Life Counseling Services Llc 3350 W Katella Ct Springfield MO 65807-3849 Ph: (417) 536-6058 | New Life Counseling Services Llc 3350 W Katella Ct Springfield MO 65807-3849 Ph: (417) 536-6058 |
NPI Number | 1063828432 |
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Provider Enumeration Date | 07/07/2014 |
Last Update Date | 07/08/2014 |
Medicare PECOS PAC ID | 4587889241 |
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Medicare Enrollment ID | O20140714000897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063828432 | NPI | - | NPPES |
1144482464 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2007028586 (Missouri) | Primary |
Provider Name | Curtis L Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144482464 PECOS PAC ID: 6608059738 Enrollment ID: I20110325000685 |
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