| Comprehensive Wellness Clinic | |
|
714 North Pomme De Terre Road Bolivar MO 65613 | |
| (417) 326-7272 | |
| (417) 326-2193 |
| Full Name | Comprehensive Wellness Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 714 North Pomme De Terre Road, Bolivar, Missouri |
| Authorized Official Name and Position | John Frank Howell (ADMINISTRATOR) |
| Authorized Official Contact | 4173267272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Wellness Clinic Po Box 49 Bolivar MO 65613 Ph: (417) 326-7272 | Comprehensive Wellness Clinic 714 North Pomme De Terre Road Bolivar MO 65613 Ph: (417) 326-7272 |
| NPI Number | 1619062445 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619062445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY01322 (Missouri) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | RIJ41 (Missouri) | Primary |
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