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NEW WAY PSYCHOLOGICAL SERVICES LLC
NPI 1225690175
Counselor - Professional in Bolivar, MO

Active since July 01, 2019
711 N MARKET AVE, BOLIVAR, MO 65613(417) 399-1793 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2021, Jul 1, 2019 (2 updates tracked since 2019).

About New Way Psychological Services Llc NPPES

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

NEW WAY PSYCHOLOGICAL SERVICES LLC (NPI 1225690175) is a healthcare organization registered as a professional in Bolivar, Missouri and active in the NPI registry since July 2019. The organization lists Charles J Wilson, Member, as its authorized official.

NPPES Registry Identity

NPI1225690175
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameNEW WAY PSYCHOLOGICAL SERVICES LLC
Location Address711 N MARKET AVEBolivar, MO 65613-1114
Mailing Address711 N Market AveBolivar, MO 65613-1114 · (417) 399-1793
Phone(417) 399-1793
Organization SubpartNo
Authorized OfficialCharles J WilsonMember · (417) 399-1793
Enumeration DateJuly 1, 2019
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1225690175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
711 N MARKET AVE, Bolivar, MO 65613
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Other Identifiers 1

Medicaid101YP2500XMO

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

Other Providers at the Same Location NPPES

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

CHARLES JAY WILSON MA, LPC
Counselor (Professional)
711 N MARKET AVE
BOLIVAR, MO 65613
Polk County (417) 399-1793

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 New Way Psychological Services LLC's NPI number?

The NPI number for New Way Psychological Services LLC is 1225690175. It was assigned to this organization in the NPPES registry on July 1, 2019.

Where is New Way Psychological Services LLC located?

New Way Psychological Services LLC is located at 711 N Market Ave, Bolivar, MO 65613. The listed phone number is (417) 399-1793.

What is New Way Psychological Services LLC'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 New Way Psychological Services LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.