| Seeds Of Hope Counseling Service Llc | |
|
3854 South Ave Springfield MO 65807-5285 | |
| (417) 215-2818 | |
| Not Available |
| Full Name | Seeds Of Hope Counseling Service Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3854 South Ave, Springfield, Missouri |
| Authorized Official Name and Position | Lorisa Eby (OWNER/THERAPIST) |
| Authorized Official Contact | 2245779203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds Of Hope Counseling Service Llc 3854 South Ave Springfield MO 65807-5285 Ph: (417) 215-2818 | Seeds Of Hope Counseling Service Llc 3854 South Ave Springfield MO 65807-5285 Ph: (417) 215-2818 |
| NPI Number | 1346938164 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7911354022 |
|---|---|
| Medicare Enrollment ID | O20231111000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346938164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lorisa Marie Eby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720633787 PECOS PAC ID: 8820445935 Enrollment ID: I20231111000242 |
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