Cory Alan Emily Sr.
Individual provider Active NPI Counselor · Potosi, MO
NPI 1922668458 · NPPES record last updated Jun 17, 2019
Key facts
- NPI
- 1922668458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 10071 Crescent Rd
Potosi, MO 63664-2040 - Phone
- (573) 438-6706
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Counseling Solutions, LLC | Counselor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
10071 Crescent Rd
Potosi, MO 63664-2040
Mailing address
10071 Crescent Rd
Potosi, MO 63664-2040
Other providers in Potosi, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2019. 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.