Provider Demographics
NPI:1376133058
Name:CARMEN BUIS COUNSELING
Entity Type:Organization
Organization Name:CARMEN BUIS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:660-707-3349
Mailing Address - Street 1:2012 CHERRY HILL DR STE 202F
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5882
Mailing Address - Country:US
Mailing Address - Phone:660-707-3349
Mailing Address - Fax:
Practice Address - Street 1:2012 CHERRY HILL DR STE 202F
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5882
Practice Address - Country:US
Practice Address - Phone:660-707-3349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health