Maudanne Pursley, LPC
Individual provider Active NPI Professional Counselor · Rolla, MO
NPI 1508065673 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1508065673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2007045289 (MO)
- Practice address
- 1450 E 10TH St
Rolla, MO 65401 - Phone
- (573) 364-7551
- Fax
- (573) 364-4898
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007045289 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2007045289 | MO | |
| Professional Counselor | 101YP2500X | 2007045289 | MO | Yes |
Addresses
Primary practice location
1450 E 10TH St
Rolla, MO 65401
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
913 S Pershing Ave
Salem, MO 65560-1845
Phone (888) 403-1071
Other providers in Rolla, MO
- Rebekah Jane Pounds
- Preferred Family Healthcare
- Presbyterian Manors, Inc.
- Prorehab PC
- Jonathan Pulsipher
- Ruiyang Qin
- Forrest Rackham
- Radiation Oncology Central LLC
- Trevan Rafter
- Margaret Elizabeth Rallo
All providers in Rolla, 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 Jun 26, 2018. 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.