| 417 Psych, Llc | |
|
1911 S National Ave Ste 401 Springfield MO 65804-2213 | |
| (417) 413-1724 | |
| (417) 313-0722 |
| Full Name | 417 Psych, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1911 S National Ave Ste 401, Springfield, Missouri |
| Authorized Official Name and Position | Rachael Herrington Roldan (OWNER/CEO) |
| Authorized Official Contact | 4174131724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 417 Psych, Llc 1911 S National Ave Ste 401 Springfield MO 65804-2213 Ph: (417) 413-1724 | 417 Psych, Llc 1911 S National Ave Ste 401 Springfield MO 65804-2213 Ph: (417) 413-1724 |
| NPI Number | 1699653022 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699653022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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