Whole and Balanced Therapy Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2005038008 Issued in MO

Legal business name

WHOLE AND BALANCED THERAPY SERVICES, LLC

Practice address

1459 E Broadway St
Bolivar, MO 65613-2950

Phone

(417) 777-5314

Fax

(417) 777-5320

NPI assigned

May 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Debra Ann Anderson, PSY.D.

Title

Owner

Phone

(417) 777-5314

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Galina Rivkin, M.D.

  • Family Medicine Physician
  • Maryland Heights, MO
  • NPI 1285675793
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1336197854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130347",
            "telephone_number": "417-777-5314",
            "fax_number": "417-777-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132950",
            "telephone_number": "417-777-5314",
            "fax_number": "417-777-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE AND BALANCED THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-777-5314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "2005038008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504593609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Eugene West, PHARM.D
• Amy Westerman, COTA/L
• Pamela Wharton, LPC
• Sno White-Benson, RPH, PHARM D.
• Kelley White
• Emily L Wickersham, DO
• Caitlin M Williams, ATC
• Danielle Elise Williams, OTR
• Christopher D Willis, DO
• Charles Jay Wilson, MA, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.