Organization
OVERCOMERS COUNSELING CENTER INC
Active
Other names
Lucinda Grace Pennington LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA GRACE PENNINGTON MS/MA (OWNER/COUNSELOR)
(816) 255-5375
Entity
Organization
Contact information
Practice address
17101 EAST 203RD ST, PECULIAR, MO 64078
(816) 255-5375
Mailing address
941 SELBY CT, RAYMORE, MO 64083
(816) 255-6375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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