# UNBOUND HORIZON OUTPATIENT SERVICE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003775792
- **Authorized official:** ASEFA GEBRE PHYSICIAN ASSISTANT (OWNER)
- **Authorized official phone:** (417) 540-4915

## Contact information

- **Practice address:** 2929 S GRAND AVE, CARTHAGE, MO 64836-7803
- **Practice address phone:** (417) 540-4915
- **Mailing address:** 2929 S GRAND AVE, CARTHAGE, MO 64836-7803
- **Mailing address phone:** (417) 540-4915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2026
- **Last updated:** 05/15/2026