Healthcare Provider Details

I. General information

NPI: 1851210512
Provider Name (Legal Business Name): DEVELOPING WINGS MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 OVERLAND LN
MOBERLY MO
65270-2917
US

IV. Provider business mailing address

PO BOX 241
MOBERLY MO
65270-0241
US

V. Phone/Fax

Practice location:
  • Phone: 319-572-1082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY M LINSS
Title or Position: PMHNP
Credential: APRN
Phone: 319-572-1082