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Organization
SUPERNOVA COUNSELING SERVICES LLC
Active
Organization
SUPERNOVA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALEESE EUGENIA ROCKETT LCSW (THERAPIST)
(816) 853-5708
Entity
Organization
Contact information
Practice address
1133 W MAIN ST STE 101, BLUE SPRINGS, MO 64015-3648
(816) 200-2753
Mailing address
1133 W MAIN ST STE 101, BLUE SPRINGS, MO 64015-3648
(816) 200-2753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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