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NPI 1851210512

NPI 1851210512 : DEVELOPING WINGS MENTAL HEALTH LLC : MOBERLY, MO

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General NPI Number Information
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    NPI Number           |    1851210512
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEVELOPING WINGS MENTAL HEALTH LLC 
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Dates
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    Enumeration Date     |    07/14/2026
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    Last Update Date     |    07/14/2026
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Provider Practice Location Address
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    Address Line         |    1361 OVERLAND LN 
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    City                 |    MOBERLY
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    State                |    MO
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    Zip                  |    65270-2917
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    Country              |    US
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    Telephone            |    319-572-1082
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 241 
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    City                 |    MOBERLY
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    State                |    MO
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    Zip                  |    65270-0241
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PMHNP
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    Name                 |    MRS. AMY M LINSS 
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    Credential           |    APRN
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    Telephone            |    319-572-1082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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