Healthcare Provider Details

I. General information

NPI: 1801738687
Provider Name (Legal Business Name): TODD MORRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10777 BARKLEY ST STE 120
OVERLAND PARK KS
66211-1162
US

IV. Provider business mailing address

1118 AUTUMN CIR UNIT 2
LOUISBURG KS
66053-6470
US

V. Phone/Fax

Practice location:
  • Phone: 913-204-0582
  • Fax:
Mailing address:
  • Phone: 913-433-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number85455
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: