Healthcare Provider Details
I. General information
NPI: 1467159731
Provider Name (Legal Business Name): KATIE DALBEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2023
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8900 STATE LINE RD STE 413
LEAWOOD KS
66206-1956
US
IV. Provider business mailing address
5902 LOCUST ST
KANSAS CITY MO
64110-3058
US
V. Phone/Fax
- Phone: 785-341-7443
- Fax:
- Phone: 785-341-7443
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHERINE
DALBEY
Title or Position: OWNER/THERAPIST
Credential: LCSW, LSCSW
Phone: 785-341-7443