| Live Well Psychotherapy Services Of Southwest Missouri Llc | |
|
30 S Main St Webb City MO 64870-2379 | |
| (417) 203-0413 | |
| Not Available |
| Full Name | Live Well Psychotherapy Services Of Southwest Missouri Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 S Main St, Webb City, Missouri |
| Authorized Official Name and Position | Mandy Jean Witthuhn (OWNER) |
| Authorized Official Contact | 4172030413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Psychotherapy Services Of Southwest Missouri Llc 1825 N East St Webb City MO 64870-1183 Ph: (417) 203-0413 | Live Well Psychotherapy Services Of Southwest Missouri Llc 30 S Main St Webb City MO 64870-2379 Ph: (417) 203-0413 |
| NPI Number | 1225914021 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225914021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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