| The Wellness Company X, Llc | |
|
300 W Cherry St Nevada MO 64772-2202 | |
| (417) 667-4230 | |
| Not Available |
| Full Name | The Wellness Company X, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 W Cherry St, Nevada, Missouri |
| Authorized Official Name and Position | Clara Michelle Lynn Sands (OWNER/OPERATOR) |
| Authorized Official Contact | 4174489437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Company X, Llc 300 W Cherry St Nevada MO 64772-2202 Ph: (417) 667-4230 | The Wellness Company X, Llc 300 W Cherry St Nevada MO 64772-2202 Ph: (417) 667-4230 |
| NPI Number | 1538923610 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 8527405117 |
|---|---|
| Medicare Enrollment ID | O20240319000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538923610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Clara Michelle Lynn Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821628249 PECOS PAC ID: 9638523053 Enrollment ID: I20231003002594 |
Friendship House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W Hickory St, Nevada, MO 64772 Phone: 417-448-9949 Fax: 417-503-1438 | |
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Chuck Owings Msw, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
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