Organization
EMBER AND ASH INTEGRATIVE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKI LEE CLARK PMHNP (MANAGING MEMBER)
(417) 880-9481
Entity
Organization
Contact information
Practice address
1525 E REPUBLIC RD STE A130, SPRINGFIELD, MO 65804-6582
(417) 880-9481
Mailing address
396 MAYNARD RD, NIXA, MO 65714-7267
(417) 880-9481
(417) 855-8229
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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