Provider Demographics
NPI:1942348735
Name:WINDLE, RITA LYNN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:LYNN
Last Name:WINDLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:TWIBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:288 COLUMBINE RD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721
Mailing Address - Country:US
Mailing Address - Phone:417-581-1978
Mailing Address - Fax:417-866-7005
Practice Address - Street 1:2404 STATE HWY 248
Practice Address - Street 2:STE 1 COMMUNITY CHRISTIAN COUNSELING CENTER
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65615
Practice Address - Country:US
Practice Address - Phone:417-339-2535
Practice Address - Fax:417-339-2634
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0023371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical