1356878060 NPI number — AMYKAY COLE LLC

Table of content: (NPI 1356878060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356878060 NPI number — AMYKAY COLE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMYKAY COLE LLC
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:
6
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:
1356878060
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
505 W 2ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOPLIN
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64801-2630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-501-4960
Provider Business Mailing Address Fax Number:
417-553-7581

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
505 W 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOPLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64801-2630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-501-4960
Provider Business Practice Location Address Fax Number:
417-553-7581
Provider Enumeration Date:
05/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
COLE
Authorized Official First Name:
AMYKAY
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL PSYCHOLOGIST
Authorized Official Telephone Number:
417-291-3315

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  1858 , 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)

  • Identifier: 1487602371 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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