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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since October 10, 2025
212 WASHINGTON AVE # 245, WEST PLAINS, MO 65775(417) 580-9774 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 3, 2026, Oct 10, 2025 (2 updates tracked since 2025).

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 Address212 WASHINGTON AVE # 245West Plains, MO 65775-9998
Mailing AddressPo Box 245West Plains, MO 65775-0245 · (417) 580-9774
Phone(417) 580-9774
Organization SubpartNo
Authorized OfficialMyriah WallaceOwner · (417) 580-9774
Enumeration DateOctober 10, 2025
Last NPPES UpdateOctober 3, 20262 updates tracked since enumeration
NPPES CertifiedOctober 3, 2026
✔ 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
212 WASHINGTON AVE # 245, West Plains, MO 65775
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MYRIAH DAWN WALLACE LPC
Counselor (Professional)
212 WASHINGTON AVE # 245
WEST PLAINS, MO 65775
Howell County (417) 580-9774

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 212 Washington Ave # 245, West Plains, MO 65775. The listed phone number is (417) 580-9774.

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 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.