1942348735 NPI number — MRS. RITA LYNN WINDLE MSW

Table of content: MRS. RITA LYNN WINDLE MSW (NPI 1942348735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942348735 NPI number — MRS. RITA LYNN WINDLE MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WINDLE
Provider First Name:
RITA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TWIBELL
Provider Other First Name:
RITA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942348735
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
288 COLUMBINE RD
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
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-581-1978
Provider Business Mailing Address Fax Number:
417-866-7005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2404 STATE HWY 248
Provider Second Line Business Practice Location Address:
STE 1 COMMUNITY CHRISTIAN COUNSELING CENTER
Provider Business Practice Location Address City Name:
BRANSON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-339-2535
Provider Business Practice Location Address Fax Number:
417-339-2634
Provider Enumeration Date:
02/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW002337 , 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)