# FAMILY COUNSELING CENTER OF MISSOURI, INC.

> 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
- **Other names:** Boonville Outpatient Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538204904
- **Authorized official:** DR. ALLEN TACKER PH.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (573) 443-2204

## Contact information

- **Practice address:** 15899 LOGANS LAKE RD, \#A, BOONVILLE, MO 65233-2866
- **Practice address phone:** (660) 882-2333
- **Practice address fax:** (660) 882-2333
- **Mailing address:** 117 N GARTH AVE, COLUMBIA, MO 65203-4103
- **Mailing address phone:** (573) 443-2204
- **Mailing address fax:** (573) 875-6607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 09/11/2025