Lifewell Mind and Body Clinic
NPI #1184590853 in West Plains, Missouri
Provider Information
- NPI Number
- 1184590853
- Entity Type
- Organization
- Organization Name
- Lifewell Mind and Body Clinic
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 10, 2025
- Last Updated
- Oct 10, 2025
Practice Location
- Address
- 12318 STATE RTE E
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-7530
- Phone
- (417) 257-4999
Authorized Official
- Name
- MYRIAH WALLACE, LPC
- Title
- OWNER
- Phone
- (417) 257-4999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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