Healthcare Provider Details

I. General information

NPI: 1366379182
Provider Name (Legal Business Name): STEPHANIE CABRAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 COLLEGE BLVD STE 125
OVERLAND PARK KS
66210-2034
US

IV. Provider business mailing address

8645 COLLEGE BLVD STE 125
OVERLAND PARK KS
66210-2034
US

V. Phone/Fax

Practice location:
  • Phone: 913-375-9397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: