Wellness Connection Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002639 Issued in MO

Legal business name

WELLNESS CONNECTION INC

Practice address

104 B W Jackson Street
Bolivar, MO 65613

Phone

(417) 777-1458

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Renee Bowman

Title

LPC

Phone

(417) 777-1458

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Debby Black, PLPC

  • Professional Counselor
  • Bolivar, MO
  • NPI 1770600165
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497809685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 B W JACKSON ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 B W JACKSON STREET",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-777-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "417-777-1458"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• William Edward Walkup, LCSW
• Kelly M Watson, FNP
• Kristi June Webb, LPC
• Mariah Wellman
• Mattracea Wendleton, LPC
• Timothy Eugene West, PHARM.D
• Amy Westerman, COTA/L
• Pamela Wharton, LPC
• Sno White-Benson, RPH, PHARM D.

• Mental Health Counselor in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.