| Mental Wellness, Llc | |
|
1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 | |
| (573) 480-7910 | |
| (573) 302-7239 |
| Full Name | Mental Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1191 Highway Kk, Osage Beach, Missouri |
| Authorized Official Name and Position | Jennifer Boyer Stevens (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5734807910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness, Llc 1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 Ph: (573) 480-7910 | Mental Wellness, Llc 1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 Ph: (573) 480-7910 |
| NPI Number | 1639254600 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395742316 |
|---|---|
| Medicare Enrollment ID | O20061103000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639254600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2004013642 (Missouri) | Primary |
| Provider Name | Karen A Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598743452 PECOS PAC ID: 9234192659 Enrollment ID: I20041108000214 |
| Provider Name | Suzanne M Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437778859 PECOS PAC ID: 1658792437 Enrollment ID: I20200603000711 |
| Provider Name | Mark B Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740269604 PECOS PAC ID: 6406181338 Enrollment ID: I20240209002523 |
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