Organization
DOOR TO HOPE COUNSELING & EDUCATION LLC
Active
Organization
DOOR TO HOPE COUNSELING & EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH GOOD LPC CASAC (ADMINISTRATOR/COUNSELOR)
(417) 724-9767
Entity
Organization
Contact information
Practice address
231 VILLAGE CENTER ST, NIXA, MO 65714-1049
(417) 724-9767
(417) 724-9711
Mailing address
PO BOX 1049, 231 VILLAGE CENTER ST, NIXA, MO 65714-1049
(417) 724-9767
(417) 724-9711
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC0750159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149
SATOP PROVIDER
MO
Enumeration date
06/25/2008
Last updated
06/25/2008
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