MEDICARE: MS. SHIRLEY WARING

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	2000150518	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194701235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHIRLEY WARING

Provider Business Mailing Address
First Line	:	4726 W 78TH TER
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-4413
Country	:	US
Telephone Number	:	913-710-2040
Fax Number	:	913-766-1916

Provider Business Practice Location Address
First Line	:	11111 NALL AVE
Second Line	:	SUITE 103
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1620
Country	:	US
Telephone Number	:	913-710-2040
Fax Number	:	913-766-1916

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/08/2007

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Directions to “ MS. SHIRLEY WARING ” Practice Location

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