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Contact Information

AMY D BURLISON, M.ED., LPC
MOBILE COUNSELING SERVICES
1039 ACORN HOLLOW COURT
FENTON, MO63026
 Phone: 314-691-3611
 Fax: 636-225-1386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for AMY D BURLISON · (Female)

NPI Number 1205962123
Status Active
Credentials M.ED., LPC
Entity Individual
Enumeration date 02/26/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2000162585
  • MO Medicaid 494670516
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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