Healthcare Provider Details

I. General information

NPI: 1528458692
Provider Name (Legal Business Name): MICHELLE HOSKINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11695 S BLACKBOB RD
OLATHE KS
66062-1058
US

IV. Provider business mailing address

11695 S BLACKBOB RD
OLATHE KS
66062-1058
US

V. Phone/Fax

Practice location:
  • Phone: 913-768-6606
  • Fax: 913-768-6609
Mailing address:
  • Phone: 913-768-6606
  • Fax: 913-768-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC03547
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: