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TRIDENT COUNSELING CONSULTING & WELLNESS LLC
NPI 1245050186
Social Worker - Clinical in Bolivar, MO

Active since October 15, 2024
112 W BROADWAY ST ST A, BOLIVAR, MO 61653(417) 631-3246 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trident Counseling Consulting & Wellness Llc NPPES

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

TRIDENT COUNSELING CONSULTING & WELLNESS LLC (NPI 1245050186) is a healthcare organization registered as a clinical in Bolivar, Missouri and active in the NPI registry since October 2024. The organization lists Melissa Davis, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1245050186
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRIDENT COUNSELING CONSULTING & WELLNESS LLC
Location Address112 W BROADWAY ST ST ABolivar, MO 61653
Mailing Address112 W Broadway St St ABolivar, MO 61653 · (417) 631-3246
Phone(417) 631-3246
Organization SubpartNo
Authorized OfficialMelissa DavisOwner/provider · (417) 631-3246
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1245050186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
112 W BROADWAY ST ST A, Bolivar, MO 61653
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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 Trident Counseling Consulting & Wellness LLC's NPI number?

The NPI number for Trident Counseling Consulting & Wellness LLC is 1245050186. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Trident Counseling Consulting & Wellness LLC located?

Trident Counseling Consulting & Wellness LLC is located at 112 W Broadway St St A, Bolivar, MO 61653. The listed phone number is (417) 631-3246.

What is Trident Counseling Consulting & Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Trident Counseling Consulting & Wellness LLC was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.