MISSOURI DEPARTMENT OF MENTAL HEALTH NPI 1134577653

NPI Information

  • NPI: 1134577653
  • Provider Name: MISSOURI DEPARTMENT OF MENTAL HEALTH
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1706 E ELM ST
    JEFFERSON CITY, MO
    ZIP 65101
  • Phone: (573) 751-2940

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NPI Details

MISSOURI DEPARTMENT OF MENTAL HEALTH is an adult mental health clinic center in Jefferson City, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MISSOURI DEPARTMENT OF MENTAL HEALTH NPI is 1134577653. The provider is registered as an organization entity type.

The provider's business location address is:

1706 E ELM ST
JEFFERSON CITY, MO
ZIP 65101-130
Phone: (573) 751-2940

The provider's authorized official is Lynne Fulks .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-8142.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 8/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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