| Southern Light Residential | |
|
1211 E Broadway St Bolivar MO 65613-2952 | |
| (417) 850-4555 | |
| (417) 777-7017 |
| Full Name | Southern Light Residential |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1211 E Broadway St, Bolivar, Missouri |
| Authorized Official Name and Position | Cindy Drake (ADMIN DIRECTOR) |
| Authorized Official Contact | 4178504555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Light Residential 707 S Pearl Ave Joplin MO 64801-4334 Ph: (417) 850-4555 | Southern Light Residential 1211 E Broadway St Bolivar MO 65613-2952 Ph: (417) 850-4555 |
| NPI Number | 1801312459 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 08/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801312459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Citizens Memorial Hospital District Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Family Institute Of The Ozarks Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Free Your Mind Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 910 E San Martin St Ofc 2, Bolivar, MO 65613 Phone: 417-414-0676 Fax: 844-222-4909 | |
New Way Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 N Market Ave, Bolivar, MO 65613 Phone: 417-399-1793 | |
Trident Counseling Consulting & Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Broadway St St A, Bolivar, MO 61653 Phone: 417-631-3246 | |
New Medico Healthcare Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3361 S Springfield Ave, Bolivar, MO 65613 Phone: 417-777-1182 Fax: 417-777-1183 | |
Oasis Counseling And Education, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1459 E. Broadway, Bolivar, MO 65613 Phone: 417-327-5184 Fax: 417-777-2650 |