Organization
COVENANT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FAY BALES LPC (OWNER/SINGLE MEMBER OF LLC)
(417) 862-7000
Entity
Organization
Contact information
Practice address
227 E SUNSHINE ST, SUITE 103, SPRINGFIELD, MO 65807-2652
(417) 862-7000
(417) 862-7007
Mailing address
227 E SUNSHINE ST, SUITE 103, SPRINGFIELD, MO 65807-2652
(417) 862-7000
(417) 862-7007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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