Organization · Type 2 NPI
Mindfully Whole Psychotherapy LLC
Adolescent and Children Mental Health Clinic/Center · Springfield, MO
Practice location
4057 W Ildereen St
Springfield, MO 65807-1063
Fax (417) 719-7995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 2016005653 (MO) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 2016005653 (MO) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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About NPI 1689111379
Mindfully Whole Psychotherapy LLC's National Provider Identifier is 1689111379, issued on Jan 19, 2017. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Springfield, MO. The record was last updated on Feb 13, 2017.