| Southern Light Counseling | |
|
610 E Battlefield St # 113a Springfield MO 65807-4806 | |
| (417) 850-4555 | |
| (417) 777-7017 |
| Full Name | Southern Light Counseling |
|---|---|
| Speciality | Counselor |
| Location | 610 E Battlefield St # 113a, Springfield, Missouri |
| Authorized Official Name and Position | Cindy Drake (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 4178504555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Light Counseling 610 E Battlefield St # 113a Springfield MO 65807-4806 Ph: (417) 850-4555 | Southern Light Counseling 610 E Battlefield St # 113a Springfield MO 65807-4806 Ph: (417) 850-4555 |
| NPI Number | 1891412797 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Medicare PECOS PAC ID | 8325581606 |
|---|---|
| Medicare Enrollment ID | O20240614000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891412797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Carlos Alfredo Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750979704 PECOS PAC ID: 1052854338 Enrollment ID: I20240627001476 |
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