SOLID ROCK CHRISTIAN COUNSELING, INC


Address: 2725 N Westwood Blvd, Ste.5a, Poplar Bluff, MO 63901-2346
Phone: 5737850333

SOLID ROCK CHRISTIAN COUNSELING, INC (NPI# 1699836403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699836403
Entity Type Organization
Organization Name SOLID ROCK CHRISTIAN COUNSELING, INC
Practice Address 2725 N Westwood Blvd
Ste.5a
Poplar Bluff
MO 63901-2346
Practice Telephone 5737850333
Practice Fax Number 5737850333
Mailing Telephone 5737850333
Mailing Fax Number 5737850333
Enumeration Date 2006-12-13
Last Update Date 2011-05-24
Authorized Official Name MRS. MELISSA M ALLEN (OFFICE MANAGER)
Authorized Official Telephone 5737850333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
002436 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1699836403 05
MO ANTHEM BLUE CROSS BLUE SHIELD 1699836403 01
MO HEALTHLINK, INC 1699836403 01
MO MEDICARE CMS 1699836403 01
MO UNITED HEALTHCARE 1699836403 01
MO VALUE OPTIONS 1699836403 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427341510 Solid Rock Christian Counseling, Inc Social Worker 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901-2346 2011-05-23

Office Location

Street Address 2725 N WESTWOOD BLVD
STE.5A
City POPLAR BLUFF
State MO
Zip Code 63901-2346

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1255866208 Jamie Deken Registered Nurse 2725 N Westwood Blvd, Ste 16, Poplar Bluff, MO 63901-2346 2017-04-27
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1427341510 Solid Rock Christian Counseling, Inc Social Worker 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901-2346 2011-05-23
1982997599 Darrell Dewayne Robertson Social Worker 2725 N Westwood Blvd, Ste.5a, Poplar Bluff, MO 63901-2346 2011-05-16
1114177607 Zuleika Danielle Matlock Physical Therapy Assistant 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 2008-09-22
1831348150 Leigh Ann Johnson Physical Therapy Assistant 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 2008-09-10
1174772495 Charles Wayne Robertson Physical Therapy Assistant 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 2008-09-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104296078 Melinda Gay Taylor Vii Counselor 615 Selma St, Poplar Bluff, MO 63901-4931 2015-10-04
1669684403 Rodney Allan Messenger Counselor 1140 Herschel Bess Boulevard, Poplar Bluff, MO 63901 2007-05-04
1164065017 Rebekah Clubb Counselor 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2019-10-23
1174098115 Carl Raye Harbison Jr. Counselor 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-10-05
1194131466 Racheal Ward Counselor 3001 Warrior Lane, Family Counseling Center, Inc., Poplar Bluff, MO 63901 2014-07-08
1033522412 Charissa Young Counselor 3001 Warrior Ln, Poplar Bluff, MO 63901 2014-06-03
1083026421 Sarah Montgomery Counselor 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2014-05-20
1811328958 Kristie Keasler Counselor 621 W Pine St, Poplar Bluff, MO 63901-5042 2013-11-27
1801166160 Verlin George Luna Jr. Counselor 101 S Main St, Poplar Bluff, MO 63901-5843 2012-01-04
1114224334 Lisa L Brooks Counselor 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2011-02-24
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Competitor

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City POPLAR BLUFF
Zip Code 63901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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