| Center for Resolutions, LLC | |
|
5425 S Ferguson Avenue Springfield MO 65810 | |
| (417) 773-0413 | |
| (417) 862-8659 |
| Full Name | Center for Resolutions, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5425 S Ferguson Avenue, Springfield, Missouri |
| Authorized Official Name and Position | Emily Dawn Marshall (CHIEF EXECUTIVE OFFICER/OWNER) |
| Authorized Official Contact | 4177730413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Resolutions, LLC 5425 S Ferguson Avenue Springfield MO 65810 Ph: (417) 773-0413 | Center for Resolutions, LLC 5425 S Ferguson Avenue Springfield MO 65810 Ph: (417) 773-0413 |
| NPI Number | 1184635989 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184635989 | NPI | - | NPPES |
| 495273328 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2001001603 (Missouri) | Primary |
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