Provider Demographics
NPI:1245828417
Name:NURTURED ALLIANCE COUNSELING LLC
Entity type:Organization
Organization Name:NURTURED ALLIANCE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARLY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BLUMHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-239-1944
Mailing Address - Street 1:5449 W DRISKEL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9117
Mailing Address - Country:US
Mailing Address - Phone:573-239-1944
Mailing Address - Fax:
Practice Address - Street 1:2012 CHERRY HILL DR STE OFFICED
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5882
Practice Address - Country:US
Practice Address - Phone:573-239-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty