Organization
WALKING PEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA S HAINES MA, LPC (OWNER)
(573) 289-8495
Entity
Organization
Contact information
Practice address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(573) 289-8495
(660) 882-7137
Mailing address
413 E SPRING ST, BOONVILLE, MO 65233-1573
(573) 289-8495
(660) 882-7137
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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