Provider Demographics
NPI:1104102557
Name:NATURAL SOLUTIONS COUNSELING
Entity type:Organization
Organization Name:NATURAL SOLUTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGGONER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:573-576-1936
Mailing Address - Street 1:RR 2 BOX 2335
Mailing Address - Street 2:
Mailing Address - City:SEDGEWICKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63781-9706
Mailing Address - Country:US
Mailing Address - Phone:573-576-1936
Mailing Address - Fax:
Practice Address - Street 1:702 SCOGGINS ST
Practice Address - Street 2:
Practice Address - City:PARK HILLS
Practice Address - State:MO
Practice Address - Zip Code:63601-4111
Practice Address - Country:US
Practice Address - Phone:573-327-9722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004014231251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health