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

Mindbody Wellness, LLC

Organization Clinical Psychologist · NPI 1992971675

Mindbody Wellness, LLC is a Clinical Psychologist in Aurora, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1407 S Elliott Ave Ste B
Aurora, MO 65605-2103
Phone: (417) 440-0826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2008007986 (MO)

Record details

NPI number1992971675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Willis-Center — Clinical Psychologist · (417) 440-0826
NPI enumeratedMay 2, 2008
Last updated in NPPESMay 2, 2008
Mailing address1407 S Elliott Ave, Suite B, Aurora, MO 65605-2103

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