Healthcare Provider Details

I. General information

NPI: 1457270761
Provider Name (Legal Business Name): WOOSAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 E CEDAR ST STE 102
OLATHE KS
66062-1886
US

IV. Provider business mailing address

3604 NE 95TH ST
KANSAS CITY MO
64156-8906
US

V. Phone/Fax

Practice location:
  • Phone: 816-799-8665
  • Fax:
Mailing address:
  • Phone: 816-799-8665
  • Fax: 816-799-8665

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: MISS SARAH M HALL
Title or Position: OWNER
Credential:
Phone: 816-799-8665