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

Southern Light Community Counseling

Organization Professional Counselor · NPI 1700302353

Southern Light Community Counseling is a Professional Counselor in Bolivar, Missouri. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1901 Wommack Ave
Bolivar, MO 65613-3128
Phone: (417) 850-4555
Fax: (417) 777-7017
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1700302353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Drake — Administrative Director · (417) 850-4555
NPI enumeratedAugust 16, 2017
Last updated in NPPESAugust 16, 2017
Mailing address707 S Pearl Ave, Joplin, MO 64801-4334

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