Provider Demographics
NPI:1346412327
Name:BRANSON COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:BRANSON COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-894-3992
Mailing Address - Street 1:2403 E CARDINAL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6875
Mailing Address - Country:US
Mailing Address - Phone:417-894-3992
Mailing Address - Fax:417-368-2970
Practice Address - Street 1:1310 E KINGSLEY ST STE D
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7233
Practice Address - Country:US
Practice Address - Phone:417-239-1389
Practice Address - Fax:417-332-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-30
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001757251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health