| Nixa Behavioral Services, Llc | |
|
307 S West St Nixa MO 65714-8413 | |
| (417) 494-5031 | |
| (417) 551-4146 |
| Full Name | Nixa Behavioral Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 307 S West St, Nixa, Missouri |
| Authorized Official Name and Position | Robert Spore (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4174945031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nixa Behavioral Services, Llc 307 S West St Nixa MO 65714-8413 Ph: (417) 494-5031 | Nixa Behavioral Services, Llc 307 S West St Nixa MO 65714-8413 Ph: (417) 494-5031 |
| NPI Number | 1952755019 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952755019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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