1750504544 NPI number — BARBARA K. HYLTON

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750504544 NPI number — BARBARA K. HYLTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARA K. HYLTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750504544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3404 N 12TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OZARK
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65721-5704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-581-2554
Provider Business Mailing Address Fax Number:
417-485-3980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CC COUNSELING SERVICES
Provider Second Line Business Practice Location Address:
380 EAST HIGHWAY CC SUITE A105
Provider Business Practice Location Address City Name:
NIXA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-725-8810
Provider Business Practice Location Address Fax Number:
417-725-6206
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HYLTON
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
SUPERVISOR
Authorized Official Telephone Number:
417-725-8810

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  2006033086 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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