Healthcare Provider Details

I. General information

NPI: 1528989233
Provider Name (Legal Business Name): MOLLY SMITH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12351 W 96TH TER STE 108
LENEXA KS
66215-4400
US

IV. Provider business mailing address

104 SE CRESCENT ST
LEES SUMMIT MO
64063-3408
US

V. Phone/Fax

Practice location:
  • Phone: 913-286-5259
  • Fax: 913-283-7869
Mailing address:
  • Phone: 816-585-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MOLLY SMITH
Title or Position: COUNSELOR
Credential: LPC
Phone: 816-585-3413