MEDICARE: RECLAIMED COUNSELING & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1609678390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECLAIMED COUNSELING & WELLNESS LLC

Provider Business Mailing Address
First Line	:	210 E LOVE ST
Second Line	:
City	:	MEXICO
State	:	MO
Zip	:	65265-2880
Country	:	US
Telephone Number	:	573-567-0234
Fax Number	:	888-460-8878

Provider Business Practice Location Address
First Line	:	210 E LOVE ST
Second Line	:
City	:	MEXICO
State	:	MO
Zip	:	65265-2880
Country	:	US
Telephone Number	:	573-567-0234
Fax Number	:	888-460-8878

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. HALEY WALKER
Credential	:	LPC
Telephone Number	:	573-567-0234

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	08/22/2025

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Directions to “RECLAIMED COUNSELING & WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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