Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifewell Mind and Body Clinic

Organization Counselor · NPI 1184590853

Lifewell Mind and Body Clinic is a Counselor in West Plains, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

12318 State Rte E
West Plains, MO 65775-7530
Phone: (417) 257-4999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1184590853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myriah Wallace — Owner · (417) 257-4999
NPI enumeratedOctober 10, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address12318 State Rte E, West Plains, MO 65775-7530

Other providers in West Plains