Alter Ego Counseling

Organization Active NPI Clinical Social Worker · Sedalia, MO

NPI 1487009361 · NPPES record last updated Apr 28, 2016

Key facts

NPI
1487009361
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
2011024378 (MO)
Legal business name
ALTER EGO COUNSELING
Practice address
505 S Kentucky Ave
Suite D
Sedalia, MO 65301-4254
Phone
(660) 232-1107
NPI assigned
Apr 28, 2016
Organization subpart
No

Authorized official

Name
Mrs. Tiffany S Martin, LCSW
Title
Owner/Therapist
Phone
(660) 232-1107

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

505 S Kentucky Ave
Ste D
Sedalia, MO 65301
Phone (660) 232-1107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 2011024378 MO Yes

Addresses

Primary practice location

505 S Kentucky Ave
Suite D
Sedalia, MO 65301-4254

Mailing address

505 S Kentucky Ave
Suite D
Sedalia, MO 65301-4254
Phone (660) 232-1107

Other providers in Sedalia, MO

All providers in Sedalia, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.