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 provides Professional Counselor services 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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