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Provider Information for 1770872913

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

PARACLETE MINISTEY GROUP, LLC

Other Name:   Doing Business As: MYCOUNSELOR.ONLINE
Organization Subpart: NO

Organization NPI: 1770872913

Calendar   Last Updated:  2022-07-21
  Certification Date:  2022-07-21

Details

Name Value
NPI 1770872913
Enumeration Date 2011-03-28
NPI Type 2- Organization
Status Active
Authorized Official Information Name: MR. JOSH SPURLOCK LPC
Title: FOUNDER & CEO
Phone: 720-306-8992
Mailing Address 2131 S EASTGATE AVE
SPRINGFIELD, MO 65809-2146
United States

Phone: 417-763-3309 | Fax:
View Map External Link
Primary Practice Address 2131 S EASTGATE AVE
SPRINGFIELD, MO 65809-2146
United States

Phone: 417-763-3309 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193200000X MULTI-SPECIALTY GROUP
101YP1600X - Counselor Pastoral
No 193400000X SINGLE SPECIALTY GROUP
101Y00000X - Counselor
No 193200000X MULTI-SPECIALTY GROUP
101YM0800X - Counselor Mental Health
No 193200000X MULTI-SPECIALTY GROUP
101YP2500X - Counselor Professional