| Mindfully Whole Psychotherapy LLC | |
|
4057 W Ildereen St Springfield MO 65807-1063 | |
| (417) 413-4991 | |
| (417) 719-7995 |
| Full Name | Mindfully Whole Psychotherapy LLC |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4057 W Ildereen St, Springfield, Missouri |
| Authorized Official Name and Position | Barbara Manzer Farrell (OWNER) |
| Authorized Official Contact | 4174134991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Whole Psychotherapy LLC 4057 W Ildereen St Springfield MO 65807-1063 Ph: (417) 413-4991 | Mindfully Whole Psychotherapy LLC 4057 W Ildereen St Springfield MO 65807-1063 Ph: (417) 413-4991 |
| NPI Number | 1689111379 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689111379 | NPI | - | NPPES |
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