Organization
WHEELHOUSE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN POTTER LCSW (OWNER/THERAPIST)
(417) 543-3043
Entity
Organization
Contact information
Practice address
1722 S GLENSTONE AVE STE H, SPRINGFIELD, MO 65804-1513
(417) 543-3043
Mailing address
2135 E INDEPENDENCE ST # 1033, SPRINGFIELD, MO 65804-3749
(417) 543-3043
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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