LIFEWELL MIND AND BODY CLINIC
NPI 1184590853
Counselor - Professional in West Plains, MO

Active since October 10, 2025
12318 STATE RTE E, WEST PLAINS, MO 65775(417) 257-4999 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifewell Mind And Body Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEWELL MIND AND BODY CLINIC (NPI 1184590853) is a healthcare organization registered as a professional in West Plains, Missouri and active in the NPI registry since October 2025. The organization lists Myriah Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1184590853
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIFEWELL MIND AND BODY CLINIC
Location Address12318 STATE RTE EWest Plains, MO 65775-7530
Mailing Address12318 State Rte EWest Plains, MO 65775-7530 · (417) 257-4999
Organization SubpartNo
Authorized OfficialMyriah WallaceOwner · (417) 257-4999
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
NPI 1184590853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12318 STATE RTE E, West Plains, MO 65775

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifewell Mind And Body Clinic's NPI number?

The NPI number for Lifewell Mind And Body Clinic is 1184590853. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Lifewell Mind And Body Clinic located?

Lifewell Mind And Body Clinic is located at 12318 State Rte E, West Plains, MO 65775. The listed phone number is (417) 257-4999.

What is Lifewell Mind And Body Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lifewell Mind And Body Clinic was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.