GIBSON CENTER FOR BEHAVIORAL CHANGE NPI 1164719373

NPI Information

NPI: 1164719373
Provider Name: GIBSON CENTER FOR BEHAVIORAL CHANGE

Doing Business As: HILLCREST COUNSELING ASSOCIATES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
340 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 332-0416
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GIBSON CENTER FOR BEHAVIORAL CHANGE is a mental health counselor in Cape Girardeau, MO. GIBSON CENTER FOR BEHAVIORAL CHANGE NPI is 1164719373. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hillcrest Counseling Associates.

The provider's business location address is:

340 S BROADVIEW ST
CAPE GIRARDEAU, MO
ZIP 63703-703
Phone: (573) 332-0416
Fax: (573) 335-2698

The provider's authorized official is Ryan Essex .
The authorized official title is Chief Operating Officer and has the following contact phone number (573) 803-4145.

The enumeration date for this NPI number is 7/8/2011 and was last updated on 1/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	002005	MISSOURI	No
2	1041C0700X	Social Worker	Clinical	2002031993	MISSOURI	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	MO2005003649	MISSOURI	No
4	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	096892	MISSOURI	No
5	101YM0800X	Counselor	Mental Health	2001007821	MISSOURI	No
6	101YM0800X	Counselor	Mental Health	2004002713	MISSOURI	No
7	101YM0800X	Counselor	Mental Health	001113	MISSOURI	No
8	101YM0800X	Counselor	Mental Health	2009023490	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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