Southern Light Residential
NPI 1801312459 · Professional Counselor · Bolivar, MO
Southern Light Residential is a Professional Counselor organization in Bolivar, MO (NPI 1801312459).
Provider details
- NPI number
- 1801312459
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cindy Drake, Admin Director(417) 850-4555
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-16
- Last updated
- 2017-08-16
Frequently asked questions
- What is Southern Light Residential's NPI number?
- Southern Light Residential's National Provider Identifier (NPI) is 1801312459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Light Residential?
- Southern Light Residential is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Southern Light Residential located?
- Southern Light Residential's practice location on file with NPPES is 1211 E Broadway St, Bolivar, MO 65613-2952.
- What is Southern Light Residential's phone number?
- The practice phone number listed in the NPPES registry for Southern Light Residential is (417) 850-4555.
- Who is the authorized official for Southern Light Residential?
- The authorized official listed on Southern Light Residential's NPPES record is Cindy Drake, Admin Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Light Residential's NPI active?
- Yes — Southern Light Residential's NPI (1801312459) is active in the NPPES registry as of the last update on 2017-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.