Organization
NIXA BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPORE (DIRECTOR OF OPERATIONS)
(417) 494-5031
Entity
Organization
Contact information
Practice address
307 S WEST ST, NIXA, MO 65714-8413
(417) 494-5031
(417) 551-4146
Mailing address
307 S WEST ST, NIXA, MO 65714-8413
(417) 494-5031
(417) 551-4146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
01/04/2023
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