Organization
MINDFUL PSYCHIATRY LLC
Active
Organization
MINDFUL PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SUE BALL PMHNP-BC (OWNER/PROVIDER)
(417) 719-2180
Entity
Organization
Contact information
Practice address
711 SOUTH LEXINGTON STREET, STE 100, HARRISONVILLE, MO 64701
(417) 647-4408
(417) 304-2289
Mailing address
711 SOUTH LEXINGTON STREET, STE 100, HARRISONVILLE, MO 64701
(417) 647-4408
(417) 304-2289
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407671621
NPI1
MO
01
—
16354618
CAQH
MO
01
—
2025003782
APRNLICENSE
MO
Enumeration date
12/12/2025
Last updated
12/12/2025
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