Patricia Ann Culbertson, MA, LPC
Individual provider Active NPI Professional Counselor · De Soto, MO
NPI 1124566237 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1124566237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2019043830 (MO)
- Practice address
- 12601 Mo-21
De Soto, MO 63020-3315 - Phone
- (636) 535-7472
- Fax
- (888) 474-0821
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019043830 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Counseling, LLC | Professional | Current |
Accepting new patients |
Locations
1170A E Gannon Dr
Festus, MO 63028
Phone (636) 322-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019043830 | MO | Yes |
Addresses
Primary practice location
12601 Mo-21
De Soto, MO 63020-3315
Mailing address
104 Hickory LN
Festus, MO 63028-3338
Phone (636) 535-7472
Other practice location 1
1170A E Gannon Dr
Festus, MO 63028-2604
Phone (636) 535-7472
Other providers in De Soto, MO
- Jeffrey D Carpenter
- Chesntut Health Systems, Inc.
- Traci Churchill
- Courtney Ann Cooper
- Steven Crawford
- Gennadiy Dameshek
- De Soto Drug Co Inc
- De Soto Eye Care LLC
- De Soto Public Schools
- Hattie Debord
All providers in De Soto, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.