Organization
FAMILY CIRCLE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI BOBBETT (INSURANCE MANAGER)
(417) 944-1440
Entity
Organization
Contact information
Practice address
818 W CHAMP CLARK DR, BOWLING GREEN, MO 63334-2034
(573) 324-5655
(573) 324-5490
Mailing address
818 W CHAMP CLARK DR, BOWLING GREEN, MO 63334-2034
(573) 324-5655
(573) 324-5490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316099559
—
MO
Enumeration date
01/17/2007
Last updated
06/30/2010
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