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Contact Information

THE EAGLESNEST 3C
743 W RIVERSIDE ST
SPRINGFIELD, MO65807-4658
 Phone: 417-861-3965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Adolescent and Children Mental Health

261QM0855X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for THE EAGLESNEST 3C

NPI # 1447124391
LBN Legal business name THE EAGLESNEST 3C
Authorized official QUINETTE WILLIAMS - (FOUNDER. CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2025
Last updated 10/02/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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