Provider Demographics
NPI:1447557236
Name:ALTERNATIVE COUNSELING & CONSULTING, INC
Entity Type:Organization
Organization Name:ALTERNATIVE COUNSELING & CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER,
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CRADC, ICADC
Authorized Official - Phone:816-267-3303
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:64075-0252
Mailing Address - Country:US
Mailing Address - Phone:816-267-3303
Mailing Address - Fax:660-259-9127
Practice Address - Street 1:113 S 13 HWY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MO
Practice Address - Zip Code:64067-1401
Practice Address - Country:US
Practice Address - Phone:816-267-3303
Practice Address - Fax:660-259-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007001686251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health