Organization
PARTNERS IN PARENTING EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA CUSICK BS CANDIDATE (OFFICE MANAGER/PARENT AIDE)
(417) 437-9270
Entity
Organization
Contact information
Practice address
2906 S MAIN ST, JOPLIN, MO 64804-2639
(417) 623-2345
(844) 272-3899
Mailing address
2906 S MAIN ST, JOPLIN, MO 64804-2639
(417) 623-2345
(844) 272-3899
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104223940
—
MO
Enumeration date
11/21/2014
Last updated
02/10/2016
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