Organization
AVENUES OF MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY GAYLE JAMERSON LCSW (OWNER)
(417) 214-3966
Entity
Organization
Contact information
Practice address
BARTON COUNTY HEATH DEPARTMENT, 1301 EAST 12TH STREET, LAMAR, MO 64759
(417) 214-3966
Mailing address
1203 E 18TH ST, LAMAR, MO 64759-2416
(417) 214-3966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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