Organization
RELIABLE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARAH LYNN SHADDIX PMHNP-BC (OWNER/PROVIDER)
(636) 306-1330
Entity
Organization
Contact information
Practice address
1103 WARM WINDS DR, O FALLON, MO 63366-6327
(636) 306-1330
(636) 306-1330
Mailing address
2977 HIGHWAY K STE 141, O FALLON, MO 63368-7862
(636) 306-1330
(636) 410-9217
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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