Gold Leaf Enterprises Inc
Organization Active NPI Mental Health Counselor · Jackson, MO
NPI 1326200056 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1326200056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 214985 (MO)
- Legal business name
- GOLD LEAF ENTERPRISES INC
- Practice address
- 1166 Greenway Dr
Suite B5
Jackson, MO 63755-2913 - Phone
- (573) 243-9900
- Fax
- (573) 243-5320
- NPI assigned
- Jun 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sherri Gail Coomer
- Title
- President
- Phone
- (573) 243-9900
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Gold Leaf Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 214985 | MO | Yes |
| Case Manager/Care Coordinator |
171M00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | 1706830 | MO |
Addresses
Primary practice location
1166 Greenway Dr
Suite B5
Jackson, MO 63755-2913
Mailing address
1166 Greenway Dr
Suite B5
Jackson, MO 63755-2913
Phone (573) 243-9900
Other providers in Jackson, MO
- Rebecca Kae Gerler
- Christy Gibbs
- Kimberly Ann Glastetter-Brown
- Colleen Glenn
- Laura E Glueck
- Gold Leaf Enterprises, Inc
- Tamara L Goldrick
- Benjamin Gail Goodier
- Grace Reliant Healthcare
- Grace Reliant Healthcare, LLC
All providers in Jackson, MO · Mental Health 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 Jun 25, 2008. 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.