Organization
TKW COUNSELING SERVICE, LLC
Active
Other names
Mountain Home Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH L. WHITE PHD (CEO/BUSINESS MANAGER)
(417) 942-8230
Entity
Organization
Contact information
Practice address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 701-1400
(314) 667-3621
Mailing address
1404 SOUTHERN HILLS DRIVE PMB400, WEST PLAINS, MO 65775
(945) 328-7170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
07/19/2024
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