Organization
ALLIANCE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY V NOBLE PSYD (OWNER)
(417) 667-8700
Entity
Organization
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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