Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Counseling Center

Organization Professional Counselor · NPI 1093157778

Lifespan Counseling Center is a Professional Counselor in Sullivan, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

625 Missouri Ave
Sullivan, MO 63080-1537
Phone: (573) 468-2121
Fax: (573) 468-6121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2008012437 (MO)

Record details

NPI number1093157778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doris Hallam — Counselor/Owner · (573) 468-2121
NPI enumeratedJuly 23, 2013
Last updated in NPPESMarch 28, 2019
Mailing address625 Missouri Ave, Sullivan, MO 63080-1537

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