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

NPI Status: Active since October 10, 2025

Contact Information

12318 STATE RTE E
WEST PLAINS, MO
ZIP 65775
Phone: (417) 257-4999

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  • Organization
  • Counselor
  • Professional

About LIFEWELL MIND AND BODY CLINIC

This page provides the complete NPI Profile along with additional information for Lifewell Mind And Body Clinic, a provider established in West Plains, Missouri operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1184590853 assigned on October 2025. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Lifewell Mind And Body Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Myriah Wallace Lpc (Owner)

NPI
1184590853
Provider Name
LIFEWELL MIND AND BODY CLINIC
Entity Type
Organization
Location Address
12318 STATE RTE E WEST PLAINS, MO 65775
Location Phone
(417) 257-4999
Mailing Address
12318 STATE RTE E WEST PLAINS, MO 65775
Mailing Phone
(417) 257-4999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2025
Last Update Date
10-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MYRIAH WALLACE LPC

Authorized Official Title
OWNER
Authorized Official Phone
(417) 257-4999

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184590853, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 0 + 9 + 0 + 8 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1184590853.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184590853, enumerated as an "organization" on October 10, 2025.

The provider is located at 12318 STATE RTE E WEST PLAINS, MO 65775 and the phone number is (417) 257-4999.

Counselor with taxonomy code 101YP2500X and a focus in Professional.