Provider Demographics
NPI:1942037197
Name:NDR COUNSELING, LLC
Entity type:Organization
Organization Name:NDR COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:NATHEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RANSOM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-766-6402
Mailing Address - Street 1:1838 STATE HIGHWAY B
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-7677
Mailing Address - Country:US
Mailing Address - Phone:417-766-6402
Mailing Address - Fax:
Practice Address - Street 1:600 W REPUBLIC RD STE A116
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5805
Practice Address - Country:US
Practice Address - Phone:417-766-6402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty