WYATT'S DREAM CENTER
NPI 1942851399
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sikeston, MO

Active since September 26, 2019
205 STATE HIGHWAY AA, SIKESTON, MO 63801(573) 475-8025(573) 475-8026 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About WYATT'S DREAM CENTER

This page provides the complete NPI Profile along with additional information for Wyatt's Dream Center, a provider established in Sikeston, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1942851399 assigned on September 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Melissa Stewart (Owner)

NPI
1942851399 Verify this NPI
Provider Name
WYATT'S DREAM CENTER
Entity Type
Organization
Location Address
205 STATE HIGHWAY AA SIKESTON, MO 63801
Location Phone
(573) 475-8025
Location Fax
(573) 475-8026
Mailing Address
106 DACUS DR SIKESTON, MO 63801
Mailing Phone
(573) 380-8035
Mailing Fax
(573) 475-8026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2019
Last Update Date
09-26-2019
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MELISSA STEWART

Authorized Official Title
OWNER
Authorized Official Phone
(573) 380-8035

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
205 STATE HIGHWAY AA
SIKESTON, MO 63801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942851399, enumerated as an "organization" on September 26, 2019.

The provider is located at 205 STATE HIGHWAY AA SIKESTON, MO 63801 and the phone number is (573) 475-8025.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.