1. Home
  2. Directory
  3. Missouri
  4. Kennett
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

KELSAE WYRICK
NPI 1326454695
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Kennett, MO

Active since July 08, 2014
1109 JONES ST, KENNETT, MO 63857(573) 559-4328 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelsae Wyrick NPPES

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

KELSAE WYRICK (NPI 1326454695) is an individual substance abuse treatment, children provider in Kennett, Missouri and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1326454695
Entity TypeIndividualMale
Primary Taxonomy3245S0500X
Provider Legal NameKELSAE WYRICK
Location Address1109 JONES STKennett, MO 63857-3824
Mailing Address1109 Jones StKennett, MO 63857-3824 · (573) 559-4328
Phone(573) 559-4328
Sole ProprietorYes
Enumeration DateJuly 8, 2014
✔ NPI 1326454695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
1109 JONES ST, Kennett, MO 63857
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

CHELSI JOANN MASTERSON
Case Manager/Care Coordinator
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
KEITH LYNN CHADWELL
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
DR. PEGGY LOU MCMILLIN PH.D CSAC11
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
BRIAN BRANUM RASAC I, BS
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
TAMMIE LYNN STATLER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
HANNAH WILLIAMS
Technician, Other
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
PAM BUTTREY
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
STEVEN LEE RHINE
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925

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 Kelsae Wyrick's NPI number?

The NPI number for Kelsae Wyrick is 1326454695. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Kelsae Wyrick located?

Kelsae Wyrick practices at 1109 Jones St, Kennett, MO 63857. The listed phone number is (573) 559-4328.

What is Kelsae Wyrick's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Kelsae Wyrick was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.