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Overcomers Counseling Center Inc

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Peculiar, MO

NPI 1154935112 · NPPES record last updated Sep 6, 2020

Key facts

NPI
1154935112
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Legal business name
OVERCOMERS COUNSELING CENTER INC
Practice address
17101 East 203Rd St
Peculiar, MO 64078
Phone
(816) 255-5375
NPI assigned
Sep 6, 2020
Organization subpart
No

Authorized official

Name
Lucinda Grace Pennington, MS/MA
Title
Owner/Counselor
Phone
(816) 255-5375

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

17101 E 203rd St
Peculiar, MO 64078
Phone (816) 255-5375

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Yes
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

17101 East 203Rd St
Peculiar, MO 64078

Mailing address

941 Selby CT
Raymore, MO 64083
Phone (816) 255-6375

Other names

  • Lucinda Grace Pennington LLC Other name

Other providers in Peculiar, MO

All providers in Peculiar, MO · Mental Illness Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.