Healthcare Provider Details

I. General information

NPI: 1629818612
Provider Name (Legal Business Name): STOCK HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E LOULA ST
OLATHE KS
66061-3459
US

IV. Provider business mailing address

201 E LOULA ST
OLATHE KS
66061-3459
US

V. Phone/Fax

Practice location:
  • Phone: 913-430-9286
  • Fax: 215-610-8816
Mailing address:
  • Phone: 913-430-9286
  • Fax: 215-610-8816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: YAMILA WILLIAMS
Title or Position: OWNER
Credential: DNP
Phone: 913-430-9286