Healthcare Provider Details

I. General information

NPI: 1366524670
Provider Name (Legal Business Name): TOMMYE C SEXTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 W 87TH ST
OVERLAND PARK KS
66212-4563
US

IV. Provider business mailing address

9700 W 87TH ST
OVERLAND PARK KS
66212-4563
US

V. Phone/Fax

Practice location:
  • Phone: 913-433-2061
  • Fax: 913-262-0818
Mailing address:
  • Phone: 913-433-2061
  • Fax: 913-262-0818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number860
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: