Organization
DOOR TO HOPE COUNSELING & EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BETH GOOD LPC, CASAC (OWNER/COUNSELOR)
(417) 724-9767
Entity
Organization
Contact information
Practice address
231 VILLAGE CENTER AVE, NIXA, MO 65714
(417) 724-9767
(417) 724-9711
Mailing address
PO BOX 1049, NIXA, MO 65714-1049
(417) 724-9767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8002051
DMH VENDOR
MO
Enumeration date
04/23/2008
Last updated
07/01/2008
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