Clark Community Mentalhealth Center
Organization Active NPI Children's Substance Abuse Rehabilitation Facility · Monett, MO
NPI 1912337692 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1912337692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Children's Substance Abuse Rehabilitation Facility 3245S0500X
- Legal business name
- CLARK COMMUNITY MENTALHEALTH CENTER
- Practice address
- 411 3Rd St
Monett, MO 65708-9999 - Phone
- (417) 235-6610
- NPI assigned
- Nov 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Frank Compton
- Title
- Ceo
- Phone
- (417) 476-1000
Corporate family (same tax ID) 12
Practitioners 31
-
Teresa Arndt, LPN
-
Melanie Nicole Beckham, RN, PMHNP
-
Kimberly Lucille Black, PMHNP
-
Lauren Marie Brown, PMHNP-BC
-
Tiana Burnside, PMHNP
-
Elaine Epp, R.N
-
Lynae Rachelle Friend, PMHNP
-
Charles Leon Graves, M.D.
-
Deeanna Hawkins, R.N
-
Morgana Hazell, PSYD
-
Nick Heeter, RN
-
Christy Marie Henley, PMHNP-BC
-
Cristi Landoll, RN
-
Linley O'Hara, RN
-
Jamie L. Randall, FNP, PMHNP
-
Elena Silvers, RN
-
Katey Ann Stafford, PMHNP
-
Kelsie Stauffer, PMHNP
-
Amanda Swink, APRN, DNP
-
Miranda Trout, RN
National Provider Directory
- Tax ID family
- Clark Community Mentalhealth Center
Locations
411 3rd St
Monett, MO 65708
Phone (417) 235-6610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | Yes |
Addresses
Primary practice location
411 3Rd St
Monett, MO 65708-9999
Mailing address
104 W Main
PO Box 100
Pierce City, MO 65723-1210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807771 | Medicaid | MO |
Other providers in Monett, MO
- Clark Community Mental Health Center
- Clark Community Mental Health Center
- Clark Community Mental Health Center
- Clark Community Mental Health Center
- Clark Community Mental Health Center
- Kelly Cochran
- Althia Cole
- Amy J Cole
- Theodore Frank Collier
- Jennifer Eleanor Conner
All providers in Monett, MO · Children's Substance Abuse Rehabilitation Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2013. 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.