Maranatha Laura

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

2000154534 Issued in MO

Legal business name

MARANATHA LAURA

Practice address

7233 Hillsboro Rd
Bonne Terre, MO 63628-3491

Phone

(573) 358-4393

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Laura Laverne Cook, M.ED.

Title

LPC

Phone

(573) 358-4393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1598048571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 HILLSBORO RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283491",
            "telephone_number": "573-358-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 HILLSBORO RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283491",
            "telephone_number": "573-358-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA LAURA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "573-358-4393",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MO",
            "license": "2000154534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lahay
• John Paul Lawson Jr., PHARM.D.
• Lauren Emily Lewis, MA
• Theresa L Lumos, LPC
• Taylor Michael Lumsden, MPT
• Richard C McGraw, LCSW
• McIntyre Chiropractic LLC
• McIntyre Psychological Services
• Lauren Danielle McIntyre, D.C.
• Susan McMann, CFY-SLP

• Mental Illness Community Based Residential Treatment Facility in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.