Organization
MISSOURI EMPOWERMENT PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA COPPEDGE (CEO)
(417) 380-3652
Entity
Organization
Contact information
Practice address
3623 SOUTH AVE, SPRINGFIELD, MO 65807-5220
(417) 380-3652
Mailing address
2407 S CAMPBELL AVE, SPRINGFIELD, MO 65807-2903
(417) 380-3652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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