MEDICARE: DAYLEN OLIVER BURNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2020302916	MO

General Provider Information

NPI Number	:	1164296240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYLEN OLIVER BURNEY

Provider Business Mailing Address
First Line	:	3229 MOHAWK LN
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-2838
Country	:	US
Telephone Number	:	918-406-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 NW MURRAY RD STE 110
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-1238
Country	:	US
Telephone Number	:	816-272-5656
Fax Number	:	816-817-8820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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Directions to “ DAYLEN OLIVER BURNEY ” Practice Location

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