Healthcare Provider Details

I. General information

NPI: 1528302569
Provider Name (Legal Business Name): PAUL HOARD LMHC, LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 E COLLEGE WAY
OLATHE KS
66062
US

IV. Provider business mailing address

2030 E COLLEGE WAY
OLATHE KS
66062-1851
US

V. Phone/Fax

Practice location:
  • Phone: 913-971-3735
  • Fax:
Mailing address:
  • Phone: 913-206-7530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2614
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002409A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: