MARANATHA LAURA NPI 1598048571

NPI Information

  • NPI: 1598048571
  • Provider Name: MARANATHA LAURA
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 7233 HILLSBORO RD
    BONNE TERRE, MO
    ZIP 63628
  • Phone: (573) 358-4393

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NPI Details

MARANATHA LAURA is a community based residential treatment facility mental illness in Bonne Terre, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MARANATHA LAURA NPI is 1598048571. The provider is registered as an organization entity type.

The provider's business location address is:

7233 HILLSBORO RD
BONNE TERRE, MO
ZIP 63628-491
Phone: (573) 358-4393

The provider's authorized official is Laura Laverne Cook .
The authorized official title is Lpc and has the following contact phone number (573) 358-4393.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 9/26/2011.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness2000154534MISSOURIYes

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: 11/21/2025

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