Healthcare Provider Details

I. General information

NPI: 1467572172
Provider Name (Legal Business Name): LEMONS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15700 COLLEGE BLVD STE 201
LENEXA KS
66219-1473
US

IV. Provider business mailing address

PO BOX 3321
OMAHA NE
68103-0321
US

V. Phone/Fax

Practice location:
  • Phone: 913-383-8977
  • Fax: 913-383-3116
Mailing address:
  • Phone: 913-383-8977
  • Fax: 913-383-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JIMMIE LEMONS
Title or Position: OWNER
Credential: ED.D
Phone: 913-383-8977