Provider Demographics
NPI:1922411669
Name:RYBERG COUNSELING
Entity Type:Organization
Organization Name:RYBERG COUNSELING
Other - Org Name:ELIZABETH RYBERG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:573-239-4827
Mailing Address - Street 1:601 W. NIFONG, BLDG 5A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-0683
Mailing Address - Country:US
Mailing Address - Phone:573-239-4827
Mailing Address - Fax:573-370-1213
Practice Address - Street 1:601 W. NIFONG, BLDG 5A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-0683
Practice Address - Country:US
Practice Address - Phone:573-239-4827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010033054251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health