| Trident Counseling Consulting & Wellness Llc | |
|
112 W Broadway St St A Bolivar MO 61653 | |
| (417) 631-3246 | |
| Not Available |
| Full Name | Trident Counseling Consulting & Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 W Broadway St St A, Bolivar, Missouri |
| Authorized Official Name and Position | Melissa Davis (OWNER/PROVIDER) |
| Authorized Official Contact | 4176313246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Counseling Consulting & Wellness Llc 112 W Broadway St St A Bolivar MO 61653 Ph: (417) 631-3246 | Trident Counseling Consulting & Wellness Llc 112 W Broadway St St A Bolivar MO 61653 Ph: (417) 631-3246 |
| NPI Number | 1245050186 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245050186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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