institution
Mindfully Whole Psychotherapy Llc
Adolescent and Children Mental Health Clinic/Center in Springfield, Missouri
NPI 1689111379

Mindfully Whole Psychotherapy Llc is an Adolescent and Children Mental Health Clinic/Center based in Springfield, MO and is specialized in Adolescent and Children Mental Health. Mindfully Whole Psychotherapy Llc practices in Springfield, MO. The NPI Number for Mindfully Whole Psychotherapy Llc is 1689111379 and holds a License No. 2016005653 (Missouri).

The current practice location address for Mindfully Whole Psychotherapy Llc is 4057 W Ildereen St, Springfield, MO and can be reached out via phone at 417-413-4991 and via fax at 417-719-7995.

Location: 4057 W Ildereen St, Springfield, MO, 65807-1063
institution
Provider Profile Details
NPI Number
1689111379
Provider Name
Mindfully Whole Psychotherapy Llc
Credential
Provider Entity Type
Organization
Address
4057 W Ildereen St, Springfield, MO, 65807-1063
Phone Number
417-413-4991
Fax Number
417-719-7995
Provider Enumeration Date
01/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4057 W Ildereen St
City
State
Zip
65807-1063
Phone Number
417-413-4991
Fax Number
417-719-7995
person
Provider Business Mailing Address Details
Address
4057 W Ildereen St
City
State
Zip
65807-1063
Phone Number
417-413-4991
Fax Number
417-719-7995
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
2016005653 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
2016005653 (Missouri)
Definition
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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