Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwoods Psychiatric Services Inc

Organization Professional Counselor · NPI 1417902305

Northwoods Psychiatric Services Inc provides Professional Counselor services in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E San Martin St
Bolivar, MO 65613-2893
Phone: (417) 326-7272
Fax: (417) 326-2193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Professional Counselor Taxonomy 101YP2500X · Licence 2004008720 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 2003024990 (MO)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY01322 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2004015488 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence R1J41 (MO)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 066643 (MO)

Record details

NPI number1417902305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denese Strange — Office Manager · (417) 326-7272
Other names Pomme De Terre Wellness Clinic; Pomme De Terre Wellness Clinic
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 49, Bolivar, MO 65613-0049

Other providers in Bolivar