| Ozark Counseling Center | |
|
614 South Ave Springfield MO 65806-3110 | |
| (417) 869-9011 | |
| (471) 889-6307 |
| Full Name | Ozark Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 614 South Ave, Springfield, Missouri |
| Authorized Official Name and Position | Stephen Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4178699011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Counseling Center 614 South Ave Springfield MO 65806-3110 Ph: (417) 869-9011 | Ozark Counseling Center 614 South Ave Springfield MO 65806-3110 Ph: (417) 869-9011 |
| NPI Number | 1164517934 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8527035724 |
|---|---|
| Medicare Enrollment ID | O20040916000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164517934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Missouri) | Primary |
| Provider Name | Joshua Edward Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245796440 PECOS PAC ID: 1850705179 Enrollment ID: I20210128000761 |
| Provider Name | Madison E Brawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063970283 PECOS PAC ID: 1850737263 Enrollment ID: I20240307003269 |
| Provider Name | Joshua M Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336687888 PECOS PAC ID: 2769828946 Enrollment ID: I20240311001012 |
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