DAVID EVANS LADAC ICAADC ACADC NPI 1194927087

NPI Information

  • NPI: 1194927087
  • Provider Name: DAVID EVANS, LADAC, ICAADC, ACADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1604 C. N. MAIN STREET
    MOUNTAIN GROVE, MO
    ZIP 65711
  • Phone: (417) 683-5739

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NPI Details

David Evans, LADAC, ICAADC, ACADC is a mental health counselor in Mountain Grove, MO with 24 years of experience. David Evans, LADAC, ICAADC, ACADC NPI is 1194927087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1604 C. N. MAIN STREET
MOUNTAIN GROVE, MO
ZIP 65711-010
Phone: (417) 683-5739
Fax: (417) 683-1602

The NPI 1194927087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/3/2007 and was last updated on 7/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2003032185MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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