Organization · Type 2 NPI
Fireside Healing
Professional Counselor · Springfield, MO
NPI number
1053165522
Active
Practice location
1335 E Republic Rd Ste H
Springfield, MO 65804-7220
Mailing address
PO Box 14435
Springfield, MO 65814-0435
Other practice locations
- 1759 E Elm St, Springfield, MO 65802-3227 · (417) 730-9858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1053165522
Fireside Healing's National Provider Identifier is 1053165522, issued on Apr 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on May 7, 2024.