Table Rock Counseling, Llc

LBN: Table Rock Counseling, Llc
Table Rock Counseling, Llc is an health care organization with primary practice located at 67 Bishop Ln , Kimberling City MO 65686-9818. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Table Rock Counseling, Llc can be contacted via phone (417) 230-1279, or through Domsch, Laurie Jean via phone (417) 272-0055.

Contact Information

Primary practice address
67 Bishop Ln Kimberling City MO 65686-9818
Fax: (417) 739-1360
Website:
Authorized official contact:
Name: Domsch, Laurie Jean ACSW, LCSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MO 004512 Missouri
Behavioral Health & Social Service Providers / Social Worker 104100000X MO 004512 Missouri

Profile Details

NPI number 1447231808
LBN Legal business name Table Rock Counseling, Llc
DBA Doing business as
Authorized official Domsch, Laurie Jean ACSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated May 13th, 2016 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447231808 NPPES
Missouri MEDICAID 1144201104

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