# MISSOURI PSYCH SERVICES LLC

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

## Provider details

- **NPI number:** 1053986208
- **Authorized official:** ROCCO CONIGLIO CEO (CEO)
- **Authorized official phone:** (330) 536-3746

## Contact information

- **Practice address:** 2733 E BATTLEFIELD ST \# 612, SPRINGFIELD, MO 65804-3981
- **Practice address phone:** (330) 536-3746
- **Practice address fax:** (330) 267-4250
- **Mailing address:** 3593 MEDINA RD STE 181, MEDINA, OH 44256-8182
- **Mailing address phone:** (330) 536-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 01/13/2022