MISSOURI PSYCH SERVICES LLC NPI 1053986208

NPI Information

NPI: 1053986208
Provider Name: MISSOURI PSYCH SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2733 E BATTLEFIELD ST # 612
SPRINGFIELD, MO
ZIP 65804
Phone: (330) 536-3746
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MISSOURI PSYCH SERVICES LLC is a psychiatric/mental health nurse practitioner in Springfield, MO. MISSOURI PSYCH SERVICES LLC NPI is 1053986208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2733 E BATTLEFIELD ST # 612
SPRINGFIELD, MO
ZIP 65804-981
Phone: (330) 536-3746
Fax: (330) 267-4250

The provider's authorized official is Rocco Coniglio .
The authorized official title is Ceo and has the following contact phone number (330) 536-3746.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 1/13/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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: 11/14/2023

NPI Synchronization or Removal

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