Healthcare Provider Details

I. General information

NPI: 1073133286
Provider Name (Legal Business Name): L&E INITIATIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 TRAVIS ST STE 111
OVERLAND PARK KS
66204-3965
US

IV. Provider business mailing address

8220 TRAVIS ST STE 111
OVERLAND PARK KS
66204-3965
US

V. Phone/Fax

Practice location:
  • Phone: 913-735-3348
  • Fax:
Mailing address:
  • Phone: 541-619-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LAURA HOLDEN POMMIER
Title or Position: EXECUTIVE DIRECTOR
Credential: LSCSW, LCSW
Phone: 913-735-3348