Organization
CENTER FOR LIFE COACHING AND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH C. ADAMS MS, LPC, NCC (OWNER)
(417) 671-9856
Entity
Organization
Contact information
Practice address
1401 S ELLIOTT AVE, AURORA, MO 65605-2103
(417) 671-9856
(417) 671-9881
Mailing address
491 CHARITY SCHOOL RD, CRANE, MO 65633-8179
(417) 671-9856
(417) 671-9881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101YP2500X
MO
251S00000X
Community/Behavioral Health Agency
Primary
2006009253
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346370616
NPI, INDIVIDUAL
MO
05
—
490749108
—
MO
05
—
501336705
—
MO
Enumeration date
09/02/2007
Last updated
03/28/2012
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