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MINDFULLY WHOLE PSYCHOTHERAPY LLC
NPI 1689111379
Clinic/Center - Adolescent and Children Mental Health in Springfield, MO

Active since January 19, 2017
4057 W ILDEREEN ST, SPRINGFIELD, MO 65807(417) 413-4991(417) 719-7995 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2017, Jan 19, 2017 (2 updates tracked since 2017).

About Mindfully Whole Psychotherapy Llc NPPES

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

MINDFULLY WHOLE PSYCHOTHERAPY LLC (NPI 1689111379) is a healthcare organization registered as an adolescent and children mental health in Springfield, Missouri and active in the NPI registry since January 2017. The organization lists Barbara Manzer Farrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1689111379
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMINDFULLY WHOLE PSYCHOTHERAPY LLC
Location Address4057 W ILDEREEN STSpringfield, MO 65807-1063
Mailing Address4057 W Ildereen StSpringfield, MO 65807-1063 · (417) 413-4991 · Fax (417) 719-7995
Phone(417) 413-4991
Fax(417) 719-7995
Organization SubpartNo
Authorized OfficialBarbara Manzer FarrellOwner · (417) 413-4991
Enumeration DateJanuary 19, 2017
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1689111379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in MO · 2016005653
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 2016005653 (MO)
4057 W ILDEREEN ST, Springfield, MO 65807
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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 Mindfully Whole Psychotherapy LLC's NPI number?

The NPI number for Mindfully Whole Psychotherapy LLC is 1689111379. It was assigned to this organization in the NPPES registry on January 19, 2017.

Where is Mindfully Whole Psychotherapy LLC located?

Mindfully Whole Psychotherapy LLC is located at 4057 W Ildereen St, Springfield, MO 65807. The listed phone number is (417) 413-4991.

What is Mindfully Whole Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Mindfully Whole Psychotherapy LLC was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.