Lake Area Citizens' Advisory Board, Inc.
Organization Active NPI Community/Behavioral Health Agency · Camdenton, MO
NPI 1902069552 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1902069552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- LAKE AREA CITIZENS' ADVISORY BOARD, INC.
- Practice address
- 409R W US Highway 54
Camdenton, MO 65020-6948 - Phone
- (573) 317-9061
- Fax
- (573) 317-1970
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Bradley Berg
- Title
- Board President
- Phone
- (573) 317-9061
Practitioners 5
-
Bradley C Berg, PHD
-
Rhonda Hooker, APRN
-
Ida Mae Suttmoller, MA LCSW CASAC
National Provider Directory
Locations
409 W US Highway 54
Camdenton, MO 65020
Phone (573) 317-9061
409 W US Highway 54
#R
Camdenton, MO 65020
Phone (573) 317-9061
6 Industrial Park Dr
Eldon, MO 65026
Phone (573) 346-1766
545 E Elm St
Lebanon, MO 65536
Phone (417) 533-5332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MO | Yes |
Addresses
Primary practice location
409R W US Highway 54
Camdenton, MO 65020-6948
Mailing address
409R W US Highway 54
Camdenton, MO 65020-6948
Phone (573) 317-9061
Other practice location 1
1253 Butler Rd
Lebanon, MO 65536-4636
Phone (417) 533-5332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273370857 | Medicaid | MO |
Other names
- Lake Area Counseling & Behavioral Health
Other providers in Camdenton, MO
- Taren Kirk
- Michael Kirkover
- Brett D Koons
- Anton Kosov
- Terry S Krantz
- Lake Area Industries, Inc.
- Lake Dental Clinic LLC
- Lake of the Ozarks Developmental Center
- Lake of the Ozarks Laser Pain Center LLC
- Lake Professional Hearing Aid Center
All providers in Camdenton, MO · Community/Behavioral Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. 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.