Healthcare Provider Details
I. General information
NPI: 1760181069
Provider Name (Legal Business Name): TRAUMA CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2023
Last Update Date: 09/11/2025
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1113 NE BAY CT
BLUE SPRINGS MO
64014-1840
US
IV. Provider business mailing address
1113 NE BAY CT
BLUE SPRINGS MO
64014-1840
US
V. Phone/Fax
- Phone: 816-709-8155
- Fax:
- Phone: 816-709-8155
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
RINNE
Title or Position: THERAPIST
Credential: LCSW
Phone: 816-709-8155