Healthcare Provider Details

I. General information

NPI: 1275500563
Provider Name (Legal Business Name): H.O.R.S.E. HELPING OTHERS REACH SUCCESS & EXCELLENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KENDI LN
BELTON MO
64012-9739
US

IV. Provider business mailing address

PO BOX 642
BELTON MO
64012-0642
US

V. Phone/Fax

Practice location:
  • Phone: 816-318-1881
  • Fax: 816-318-1881
Mailing address:
  • Phone: 816-318-1881
  • Fax: 816-318-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW002410
License Number StateMO

VIII. Authorized Official

Name: MS. STACIE YVETTE STOLTZ
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 816-318-1881