Provider Demographics
NPI:1598548414
Name:ENRICHMENT ALTERNATIVES LLC
Entity Type:Organization
Organization Name:ENRICHMENT ALTERNATIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA-AUD/SLP, CCC/SLP
Authorized Official - Phone:417-839-4318
Mailing Address - Street 1:7441 E LOGANWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-9472
Mailing Address - Country:US
Mailing Address - Phone:417-353-1770
Mailing Address - Fax:866-362-2865
Practice Address - Street 1:1615 S INGRAM MILL RD BLDG F
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2261
Practice Address - Country:US
Practice Address - Phone:417-839-4318
Practice Address - Fax:866-362-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty