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NPI 1902520778 · Mental Health Clinic/Center (Including Community Mental Health Center) · Potosi, MO
Provider details
- NPI number
- 1902520778
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrie Mercer, Licensed Clinical Social Worker(573) 631-0640
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1103 Evans Ave
Potosi, MO 63664-1315
Phone: (573) 631-0640
Street-level locationGet directions
Mailing address
1103 Evans Ave
Potosi, MO 63664-1315
Registry dates
- Enumerated
- 2022-09-26
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.