New Life Mission Inn - Missouri

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW LIFE MISSION INN - MISSOURI

Practice address

114 W. South
Perryville, MO 63775

Phone

(573) 513-2918

NPI assigned

Nov 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Rowe, LPCNPI 1740744564

Title

Director

Phone

(573) 579-9405

Specialties & licenses 1

Addresses

Practitioners 2

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

• Elizabeth Anne Rowe, PLPC

  • Professional Counselor
  • Perryville, MO
  • NPI 1740744564
  NPD Authorized official
• Cindy Blacklidge, LCSW

  • Clinical Social Worker
  • Fort Eustis, VA
  • NPI 1013513894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1376144949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637750545",
            "telephone_number": "573-513-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W. SOUTH",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "telephone_number": "573-513-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MISSION INN - MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-579-9405",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Moldenhauer, NP-C
• Monarch Rose LLC
• Amanda Rose Moore, APRN FNP-C
• James Morris, LCSW
• Anna Elizabeth Mueller, RPH
• Sara Noennig, LCSW
• Olde Towne Medical Company, LLC
• Abby Orf, DC
• Michelle R. Perez, LCSW
• Perry County Board for the Developmentally Disabled

• Mental Health Clinic/Center (Including Community Mental Health Center) in Perryville, MO
• Providers in Perryville, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.