# FAMILY HEALTH AND WELLNESS CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215436696
- **Authorized official:** CARLA MICHELLE REED FNP-BC (MEMBER/FNP-BC)
- **Authorized official phone:** (573) 569-2046

## Contact information

- **Practice address:** 138 S MAIN ST, LIBERAL, MO 64762-9314
- **Practice address phone:** (417) 843-2008
- **Mailing address:** PO BOX 13, LIBERAL, MO 64762-0013
- **Mailing address phone:** (573) 569-2046
- **Mailing address fax:** (417) 843-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 12/31/2020