Organization
ALLIED MENTAL HEALTH ASSOCIATES, INC.
Active
Other names
Allied Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
HARLEY V GULLETT ACSW, LCSW (CO-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
2000151808
MO
101YP2500X
Professional Counselor
Primary
2000175971
MO
101YP2500X
Professional Counselor
2001029222
MO
101YP2500X
Professional Counselor
2003032134
MO
101YP2500X
Professional Counselor
2004037100
MO
101YP2500X
Professional Counselor
2004037106
MO
101YP2500X
Professional Counselor
—
MO
103TC0700X
Clinical Psychologist
01503
MO
103TC0700X
Clinical Psychologist
2000159804
MO
103TC0700X
Clinical Psychologist
2001014377
MO
103TC0700X
Clinical Psychologist
2004013232
MO
1041C0700X
Clinical Social Worker
000440
MO
1041C0700X
Clinical Social Worker
000534
MO
1041C0700X
Clinical Social Worker
000619
MO
1041C0700X
Clinical Social Worker
000728
MO
Other
Enumeration date
12/08/2005
Last updated
02/19/2008
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