Healthcare Provider Details

I. General information

NPI: 1255523767
Provider Name (Legal Business Name): WILLIAM MATTHEW ARNET LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 W 86TH ST
LENEXA KS
66214-1634
US

IV. Provider business mailing address

10900 W 86TH ST
LENEXA KS
66214-1634
US

V. Phone/Fax

Practice location:
  • Phone: 913-499-8100
  • Fax: 913-499-8111
Mailing address:
  • Phone: 913-499-8100
  • Fax: 913-499-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1885
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: