| The Wellness Counseling Center, Llc | |
|
105c W Wall St Harrisonville MO 64701-2355 | |
| (816) 974-7378 | |
| (816) 817-1619 |
| Full Name | The Wellness Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 105c W Wall St, Harrisonville, Missouri |
| Authorized Official Name and Position | Shannon Heather Hiser (OWNER) |
| Authorized Official Contact | 9169747378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Counseling Center, Llc 1304 S. Main St. Harrisonville MO 64701 Ph: (816) 225-2024 | The Wellness Counseling Center, Llc 105c W Wall St Harrisonville MO 64701-2355 Ph: (816) 974-7378 |
| NPI Number | 1407246861 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 6406295187 |
|---|---|
| Medicare Enrollment ID | O20240415000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407246861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2010021053 (Missouri) | Primary |
| 103T00000X | Psychologist | 2010036629 (Missouri) | Secondary |
| Provider Name | Shannon Heather Hiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790097475 PECOS PAC ID: 7214376995 Enrollment ID: I20240415000619 |
| Provider Name | Salome Averi Babilon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063027902 PECOS PAC ID: 6406296011 Enrollment ID: I20240430002224 |
| Provider Name | Amanda Wilkes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972154300 PECOS PAC ID: 0840630927 Enrollment ID: I20240507000729 |
| Provider Name | Adrienne Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104213131 PECOS PAC ID: 9436599511 Enrollment ID: I20240507001252 |
| Provider Name | Adam White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477195279 PECOS PAC ID: 8123469285 Enrollment ID: I20240507004399 |
| Provider Name | Kelsey Wendt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902217383 PECOS PAC ID: 2668813726 Enrollment ID: I20240507004435 |
| Provider Name | Joanna Inwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710561188 PECOS PAC ID: 7719328467 Enrollment ID: I20240511000332 |
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