Healthcare Provider Details

I. General information

NPI: 1801228796
Provider Name (Legal Business Name): MELISSA MARIE JONES T-LMLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 INDIAN CREEK PKWY STE 660
OVERLAND PARK KS
66210-2097
US

IV. Provider business mailing address

9200 INDIAN CREEK PKWY STE 660
OVERLAND PARK KS
66210-2097
US

V. Phone/Fax

Practice location:
  • Phone: 913-346-3665
  • Fax:
Mailing address:
  • Phone: 913-346-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1478
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: