Divine Deliverance Counseling Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

002680 Issued in MO

Legal business name

DIVINE DELIVERANCE COUNSELING CENTER

Practice address

100 S Bates St
Waynesville, MO 65583-2146

Phone

(573) 774-5894

Fax

(573) 774-6975

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clifton Junior Ruggs III, D.MIN., LPC, CASACNPI 1700082872

Title

Director

Phone

(573) 774-5894

Specialties & licenses 1

Addresses

Practitioners 1

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

• Clifton Junior Ruggs III, D.MIN., LPC, CASAC

  • Professional Counselor
  • Waynesville, MO
  • NPI 1700082872
  NPD (past) Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598961765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BATES ST",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832146",
            "telephone_number": "573-774-5894",
            "fax_number": "573-774-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BATES ST",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832146",
            "telephone_number": "573-774-5894",
            "fax_number": "573-774-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DELIVERANCE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUGGS",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-774-5894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.MIN., LPC, CASAC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "002680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisse Davis
• Lon 'Mark' Davis, LPC, NCC
• Kelsey Dethrow
• Denise Dickens, PLPC
• Jaclyn Michelle Ditt
• Nathasia Dorsey
• Jenna Nicole Duncan, B.S.
• Gregory Dunmore
• Emily Rose Echelberry
• Don Eldridge

• Emotionally Disturbed Childrens' Residential Treatment Facility in Waynesville, MO
• Providers in Waynesville, MO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.