CULTIVATING WELLNESS (NPI# 1275199804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275199804 |
Entity Type | Organization |
Organization Name | CULTIVATING WELLNESS |
Practice Address |
227 E Sunshine St Springfield MO 65807-2652 |
Mailing Address |
227 E Sunshine St Ste 112 Springfield MO 65807-2630 |
Practice Telephone | 4177094909 |
Practice Fax Number | 4177094909 |
Mailing Telephone | 4177094909 |
Enumeration Date | 2019-05-20 |
Last Update Date | 2019-05-20 |
Authorized Official Name | ANGELA K COULTER (THERAPIST) |
Authorized Official Telephone | 4177665566 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD | 1235135153 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CULTIVATING WELLNESS LLC | 2759 Etna Ave, Fontanelle, IA 50846 |
Street Address |
227 E SUNSHINE ST |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114235777 | Covenant Counseling | Counselor | 227 E Sunshine St, Suite 103, Springfield, MO 65807-2652 | 2010-09-16 |
1235516089 | Chelsie Cierra Budd | Counselor | 227 E Sunshine St, Suite 120, Springfield, MO 65807-2652 | 2015-04-30 |
1801105978 | Covenant Counseling LLC | Community/Behavioral Health | 227 E Sunshine St, Suite 103, Springfield, MO 65807-2652 | 2010-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710449327 | Kemet Health One LLC | Clinic/Center | 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | 2019-04-02 |
1295217347 | Luna Counseling, LLC | Clinic/Center | 30 Warder St Ste 165, Springfield, OH 45504-2500 | 2018-09-05 |
1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
1902269103 | Hillary Lamontagne Therapy, LLC | Clinic/Center | 520 E Allen St, Springfield, IL 62703-2318 | 2016-04-04 |
1619206778 | Kathleen Dosby, Ph.d. LLC | Clinic/Center | 6919 Vancouver Rd, Springfield, VA 22152-3353 | 2009-12-18 |
1932369485 | 'our House' Foundation | Clinic/Center | 5325 S Maryland Ave, Springfield, MO 65810-2821 | 2008-06-09 |
1821444753 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-05-10 |
1346563285 | Michael S. Roath Md Fapa PC | Clinic/Center | 8322 Traford Ln, Suite D, Springfield, VA 22152-1668 | 2010-03-06 |
1922136621 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2007-03-02 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.