Provider Demographics
NPI:1033980826
Name:FRIENDSHIP HOUSE
Entity Type:Organization
Organization Name:FRIENDSHIP HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:K
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-448-9949
Mailing Address - Street 1:1601 W HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-1727
Mailing Address - Country:US
Mailing Address - Phone:417-448-7299
Mailing Address - Fax:417-503-1438
Practice Address - Street 1:1601 W HICKORY ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:MO
Practice Address - Zip Code:64772-1727
Practice Address - Country:US
Practice Address - Phone:417-448-9949
Practice Address - Fax:417-503-1438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty