# LIFE DEVELOPMENT COUNSELORS

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

## Provider details

- **NPI number:** 1487718326
- **Authorized official:** KATHRYN BOONE M.S., L.P.C. (ADMINISTRATOR)
- **Authorized official phone:** (417) 889-6764

## Contact information

- **Practice address:** 2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
- **Practice address phone:** (417) 889-6764
- **Practice address fax:** (417) 889-6627
- **Mailing address:** 2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
- **Mailing address phone:** (417) 889-6764
- **Mailing address fax:** (417) 889-6627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CS 1086 | MO | — |
| 106H00000X | Marriage & Family Therapist | 300047 | MO | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 09/11/2025