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Life360 Community Services
Adolescent and Children Mental Health Clinic/Center in Springfield, Missouri
NPI 1720751688

Life360 Community Services is an Adolescent and Children Mental Health Clinic/Center based in Springfield, MO and is specialized in Adolescent and Children Mental Health. Life360 Community Services practices in Springfield, MO. The NPI Number for Life360 Community Services is 1720751688 and holds a License No. (Missouri).

The current practice location address for Life360 Community Services is 836 S Suburban Ave, Springfield, MO and can be reached out via phone at 417-658-5409.

Location: 836 S Suburban Ave, Springfield, MO, 65807-8683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720751688
Provider Name
Life360 Community Services
Credential
Provider Entity Type
Organization
Address
836 S Suburban Ave, Springfield, MO, 65807-8683
Phone Number
417-658-5409
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578916946 05 MO
institution
Provider Business Practice Location Address Details
Address
836 S Suburban Ave
City
Springfield
State
Missouri
Zip
65802-6774
Phone Number
417-658-5409
Fax Number
person
Provider Business Mailing Address Details
Address
836 S Suburban Ave
City
Springfield
State
Missouri
Zip
65802-6774
Phone Number
417-658-5409
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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