Healthcare Provider Details

I. General information

NPI: 1194638163
Provider Name (Legal Business Name): AYAT YOUSSEF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 COLLEGE BLVD
OVERLAND PARK KS
66210-1944
US

IV. Provider business mailing address

7501 COLLEGE BLVD
OVERLAND PARK KS
66210-1944
US

V. Phone/Fax

Practice location:
  • Phone: 913-451-8550
  • Fax: 913-469-5266
Mailing address:
  • Phone: 913-451-8550
  • Fax: 913-469-5266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05560-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: