HONOUR BRITE LLC NPI 1548760820

NPI Information

NPI: 1548760820
Provider Name: HONOUR BRITE LLC

Doing Business As: EUSTASIS PSYCHIATRIC AND ADDICTION HEALTH

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 04D2208279

Address:
3600 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 322-6622
Get Directions

HONOUR BRITE LLC is a multi-specialty clinic center in Springfield, MO. HONOUR BRITE LLC NPI is 1548760820. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eustasis Psychiatric And Addiction Health.

The provider's business location address is:

3600 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-311
Phone: (417) 322-6622
Fax: (417) 350-1935

The provider's authorized official is Alok Jain .
The authorized official title is Member/psychiatrist and has the following contact phone number (417) 322-6622.

The CLIA number assigned to this NPI record is 04D2208279 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 4/17/2023.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	207Q00000X	Family Medicine		No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
5	261Q00000X	Clinic/Center		No
6	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
7	261QU0200X	Clinic/Center	Urgent Care	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
9	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1K3769	MEDICAID	ARKANSAS
2	500051439	MEDICAID	MISSOURI
3	830051239	MEDICAID	MISSOURI

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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