MEDICARE: LAURA CORNETT MA, PLPC

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	2025037479	MO

General Provider Information

NPI Number	:	1851262067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA CORNETT MA, PLPC

Provider Business Mailing Address
First Line	:	6208 NORTHLAKE DR
Second Line	:
City	:	PARKVILLE
State	:	MO
Zip	:	64152-6079
Country	:	US
Telephone Number	:	816-729-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 NW VIVION RD STE 108
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4511
Country	:	US
Telephone Number	:	816-366-5515
Fax Number	:

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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