Organization
FAMILY THERAPY OF THE OZARKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE LEA BOLING MSW, LCSW (CO-OWNER/THERAPIST)
(417) 882-7700
Entity
Organization
Contact information
Practice address
1310 E. KINGSLEY, SUITE C, SPRINGFIELD, MO 65804-7238
(417) 882-7700
(417) 885-3956
Mailing address
1310 E KINGSLEY ST, SUITE C, SPRINGFIELD, MO 65804-7216
(417) 882-7700
(417) 885-3956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346412327
—
MO
05
—
1780965509
—
MO
Enumeration date
09/07/2011
Last updated
11/30/2017
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