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Active NPI 1598098691 Organization (Entity Type 2)

Hypnotherapy Collaborative, Llc

Counselor • Berkeley, MO

About Hypnotherapy Collaborative, Llc NPI 1598098691 Summary

Hypnotherapy Collaborative, Llc is a verified healthcare organization specializing in Counselor operating in Berkeley, MO. Located at 8123 JANUARY AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1598098691.

Administrative operations and authorized compliance are overseen by James Carroll (Counselor/Hypnotherapist).

Facility Location & Contact Primary Location

Facility Address

8123 January Ave

Berkeley, MO 631341513

Telephone 3146808179
Fax 3145244145

Authorized Official Information

Authorized Contact Name

James Carroll , MA

Title / Role

Counselor/hypnotherapist

Official Telephone

3146808179

Facility Classifications & Specialties

Counselor Primary Taxonomy

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2009

Registered at 8123 JANUARY AVE, BERKELEY, MO 631341513 (Tel: 3146808179)

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Updated Business Mailing Address September 08, 2009

Registered at 8123 JANUARY AVE, BERKELEY, MO 631341513 (Tel: 3146808179)

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Organization / Clinic Name Updated September 08, 2009

Operating as HYPNOTHERAPY COLLABORATIVE, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2009

Counselor (License #2007036005 in MO)

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Initial NPI Registration & Enumeration September 08, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1598098691
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 08, 2009
Last Update: September 08, 2009

Mailing Address

8123 January Ave

Berkeley, MO 631341513

Phone: 3146808179

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.