Provider Demographics
NPI:1811782139
Name:ALL SEASONS BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:ALL SEASONS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KARRI
Authorized Official - Middle Name:ANN PERRY
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:417-371-6184
Mailing Address - Street 1:1736 E SUNSHINE ST STE 406
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1330
Mailing Address - Country:US
Mailing Address - Phone:417-371-6184
Mailing Address - Fax:
Practice Address - Street 1:1736 E SUNSHINE ST STE 406
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1330
Practice Address - Country:US
Practice Address - Phone:417-371-6184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1790281566Medicaid