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Organization
WHOLE AND BALANCED THERAPY SERVICES, LLC
Active
Organization
WHOLE AND BALANCED THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA ANN ANDERSON PSY.D. (OWNER)
(417) 777-5314
Entity
Organization
Contact information
Practice address
1459 E BROADWAY ST, BOLIVAR, MO 65613-2950
(417) 777-5314
(417) 777-5320
Mailing address
PO BOX 347, BOLIVAR, MO 65613-0347
(417) 777-5314
(417) 777-5320
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2005038008
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504593609
—
MO
Enumeration date
05/05/2006
Last updated
02/22/2018
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