Organization
FULL HEALTH WELLNESS SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI STILES (BUSINESS OFFICE MANAGER)
(417) 283-2072
Entity
Organization
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
(417) 283-2073
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
(417) 283-2073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/06/2019
Last updated
06/27/2025
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