Provider Demographics
NPI:1467797944
Name:COUNSELING FOR RESOLUTION LLC
Entity Type:Organization
Organization Name:COUNSELING FOR RESOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:636-697-2747
Mailing Address - Street 1:1191 BROWNSMILL RD
Mailing Address - Street 2:
Mailing Address - City:ELSBERRY
Mailing Address - State:MO
Mailing Address - Zip Code:63343-3404
Mailing Address - Country:US
Mailing Address - Phone:636-697-2747
Mailing Address - Fax:417-944-1440
Practice Address - Street 1:858 HIGHWAY 47 E
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-6340
Practice Address - Country:US
Practice Address - Phone:636-697-2747
Practice Address - Fax:417-944-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty