Organization
LIVE WELL PSYCHOTHERAPY SERVICES OF SOUTHWEST MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDY JEAN WITTHUHN (OWNER)
(417) 203-0413
Entity
Organization
Contact information
Practice address
30 S MAIN ST, WEBB CITY, MO 64870-2379
(417) 203-0413
Mailing address
1825 N EAST ST, WEBB CITY, MO 64870-1183
(417) 203-0413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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