Provider Demographics
NPI:1982924775
Name:JOURNEYS THROUGH AUTISM
Entity Type:Organization
Organization Name:JOURNEYS THROUGH AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARSBY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:573-336-4181
Mailing Address - Street 1:1106 OLD ROUTE 66
Mailing Address - Street 2:SUITEB
Mailing Address - City:SAINT ROBERT
Mailing Address - State:MO
Mailing Address - Zip Code:65584-4601
Mailing Address - Country:US
Mailing Address - Phone:573-336-4181
Mailing Address - Fax:573-336-2187
Practice Address - Street 1:1106 OLD ROUTE 66
Practice Address - Street 2:SUITEB
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584-4601
Practice Address - Country:US
Practice Address - Phone:573-336-4181
Practice Address - Fax:573-336-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01140976251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health