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Mr. Alexander Mark Prorok, LPC
Personal Care Attendant in Willow Springs, Missouri
NPI 1598742777

Alexander Mark Prorok is a Personal Care Attendant based in Willow Springs, MO and is specialized in Personal Care Attendant. Alexander Mark Prorok practices in Willow Springs, MO and has the professional credentials of LPC. The NPI Number for Alexander Mark Prorok is 1598742777 and holds a License No. 2002032260 (Missouri).

The current practice location address for Alexander Mark Prorok is 3670 County Road 4990, Willow Springs, MO and can be reached out via phone at 417-469-2951.

Location: 3670 County Road 4990, Willow Springs, MO, 65793-0506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598742777
Provider Name
Alexander Mark Prorok
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3670 County Road 4990, Willow Springs, MO, 65793-0506
Phone Number
417-469-2951
Fax Number
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
498342609 05 MO
858342603 05 MO
institution
Provider Business Practice Location Address Details
Address
3670 County Road 4990
City
Willow Springs
State
Missouri
Zip
65793-0506
Phone Number
417-469-2951
Fax Number
person
Provider Business Mailing Address Details
Address
3670 County Road 4990
City
Willow Springs
State
Missouri
Zip
65793-0506
Phone Number
417-469-2951
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2002032260 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
2002032260 (Missouri)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2002032260 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
2002032260 (Missouri)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
2002032260 (Missouri)
Definition
Definition to come.
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