MENTAL WELLNESS LLC NPI 1639254600

NPI Information

  • NPI: 1639254600
  • Provider Name: MENTAL WELLNESS, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1191 HIGHWAY KK
    SUITE 202
    OSAGE BEACH, MO
    ZIP 65065
  • Phone: (573) 480-7910

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NPI Details

MENTAL WELLNESS, LLC is a clinical psychologist in Osage Beach, MO. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MENTAL WELLNESS, LLC NPI is 1639254600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1191 HIGHWAY KK
SUITE 202
OSAGE BEACH, MO
ZIP 65065-510
Phone: (573) 480-7910
Fax: (573) 302-7239

The provider's authorized official is Jennifer Boyer Stevens .
The authorized official title is Clinical Psychologist and has the following contact phone number (573) 480-7910.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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
1103TC0700XPsychologistClinical2004013642MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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