Provider Demographics
NPI:1477883643
Name:FINCARE, INC.
Entity Type:Organization
Organization Name:FINCARE, INC.
Other - Org Name:WILLARD COMMUNITY MENTAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KING-FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-751-9119
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:MO
Mailing Address - Zip Code:65781-0001
Mailing Address - Country:US
Mailing Address - Phone:417-685-4208
Mailing Address - Fax:417-751-9118
Practice Address - Street 1:304 E JACKSON ST
Practice Address - Street 2:STE. 204
Practice Address - City:WILLARD
Practice Address - State:MO
Practice Address - Zip Code:65781-9333
Practice Address - Country:US
Practice Address - Phone:417-685-4208
Practice Address - Fax:417-751-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-11
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004036292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty