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

Northwoods Psychiatric Services Inc

Organization Professional Counselor · NPI 1417902305

Northwoods Psychiatric Services Inc is a Professional Counselor in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E San Martin St
Bolivar, MO 65613-2893
Phone: (417) 326-7272
Fax: (417) 326-2193
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Professional Counselor Taxonomy 101YP2500X · Licence 2004008720 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 2003024990 (MO)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY01322 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2004015488 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence R1J41 (MO)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 066643 (MO)

Record details

NPI number1417902305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denese Strange — Office Manager · (417) 326-7272
Other names Pomme De Terre Wellness Clinic; Pomme De Terre Wellness Clinic
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 49, Bolivar, MO 65613-0049

Other providers in Bolivar