Enochs, Laken M

Enochs, Laken M is an individual health care provider with primary practice located at 3401 Berrywood Dr Ste 203 , Columbia MO 65201-6515. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Enochs, Laken M can be contacted via phone (573) 777-8330.

Contact Information

Primary practice address
3401 Berrywood Dr Ste 203 Columbia MO 65201-6515
Fax: (573) 777-8380
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2016035427 Missouri

Profile Details

NPI number 1104338953
LBN Legal business name Enochs, Laken M
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Jan 16th, 2019 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104338953 NPPES
Missouri MEDICAID 490048214

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