| Living Well Institute | |
|
3801 Oakland Ave Suite 110 Saint Joseph MO 64506-3622 | |
| (816) 617-6259 | |
| Not Available |
| Full Name | Living Well Institute |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3801 Oakland Ave, Saint Joseph, Missouri |
| Authorized Official Name and Position | Jackie D Moser (OWNER) |
| Authorized Official Contact | 8166176259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Institute 2536 N 26th St Saint Joseph MO 64506-1601 Ph: (816) 617-6259 | Living Well Institute 3801 Oakland Ave Suite 110 Saint Joseph MO 64506-3622 Ph: (816) 617-6259 |
| NPI Number | 1053862060 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053862060 | NPI | - | NPPES |
| 1306270186 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2013030909 (Missouri) | Primary |
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