Organization
SIMPLY WELL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA J SMITH MSW, LCSW (OWNER)
(417) 723-0500
Entity
Organization
Contact information
Practice address
103 SOUTH ST STE 6, CRANE, MO 65633-9758
(417) 723-0500
(417) 723-0501
Mailing address
103 SOUTH ST STE 6, CRANE, MO 65633-9758
(417) 723-0500
(417) 723-0501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2006038492
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490491305
—
MO
Enumeration date
07/01/2009
Last updated
07/01/2009
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