# PRAIRIE MENTAL HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1780947150
- **Authorized official:** BRUCE ANDREW FLETCHER APRN (CHIEF ECXECUTIVE OFFICER)
- **Authorized official phone:** (660) 747-4700

## Contact information

- **Practice address:** 417 W YOUNG AVE, WARRENSBURG, MO 64093-1113
- **Practice address phone:** (660) 747-4700
- **Practice address fax:** (660) 747-4701
- **Mailing address:** PO BOX 1547, SEDALIA, MO 65302-1547
- **Mailing address phone:** (660) 826-5960
- **Mailing address fax:** (660) 826-4852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 01/16/2026