Healthcare Provider Details

I. General information

NPI: 1396446183
Provider Name (Legal Business Name): REFLEKT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 N STATE HIGHWAY NN STE 103
OZARK MO
65721-7198
US

IV. Provider business mailing address

4101 N STATE HIGHWAY NN STE 103
OZARK MO
65721-7198
US

V. Phone/Fax

Practice location:
  • Phone: 417-278-6797
  • Fax: 417-222-3148
Mailing address:
  • Phone: 417-278-6797
  • Fax: 417-222-3148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: WYNDHAM O'NEAL
Title or Position: OWNER
Credential: LPC
Phone: 417-278-6797