Healthcare Provider Details

I. General information

NPI: 1811403884
Provider Name (Legal Business Name): RACHEL A LHAMON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2017
Last Update Date: 12/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 S BRENTWOOD BLVD STE 503
BRENTWOOD MO
63144-1341
US

IV. Provider business mailing address

300 E 36TH ST
KANSAS CITY MO
64111-1410
US

V. Phone/Fax

Practice location:
  • Phone: 314-881-0350
  • Fax: 314-241-0715
Mailing address:
  • Phone: 816-508-3569
  • Fax: 816-508-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2016044833
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: