Healthcare Provider Details

I. General information

NPI: 1508565540
Provider Name (Legal Business Name): COUNSELING FOR CONQUERORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 N MUR LEN RD
OLATHE KS
66062-1318
US

IV. Provider business mailing address

8924 HAUSER ST
LENEXA KS
66215-4971
US

V. Phone/Fax

Practice location:
  • Phone: 913-808-7885
  • Fax: 855-609-1049
Mailing address:
  • Phone: 913-808-7885
  • Fax: 855-609-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: COURTNEY N CARTER
Title or Position: LCMFT
Credential: LCMFT
Phone: 913-808-7885