Provider Demographics
NPI:1437699535
Name:DREW FISHER COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:DREW FISHER COUNSELING SERVICES LLC
Other - Org Name:FISHER COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:816-617-9417
Mailing Address - Street 1:501 S 36TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3067
Mailing Address - Country:US
Mailing Address - Phone:816-396-6002
Mailing Address - Fax:816-535-2188
Practice Address - Street 1:200 S 8TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64501-2210
Practice Address - Country:US
Practice Address - Phone:816-396-6002
Practice Address - Fax:816-535-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014034462101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty