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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN LIGHT RESIDENTIAL

Active Organization

SOUTHERN LIGHT RESIDENTIAL is a Professional Counselor organization located in BOLIVAR, Missouri. NPI 1801312459 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BOLIVAR, MO

Registration Details

NPI Number
1801312459
Provider Type
Organization
NPI Issued
Aug 16, 2017 (8.9519554297694 yrs)
Last Updated
Aug 16, 2017

Practice Information

Address
1211 E BROADWAY ST
BOLIVAR, MO, 656132952
Browse MO providers · Browse ZIP 65613
Phone
4178504555
Fax
4177777017
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Organizations in BOLIVAR, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.