Healthcare Provider Details

I. General information

NPI: 1558208660
Provider Name (Legal Business Name): RISING TIDE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 NW CASEY BLVD
GRAIN VALLEY MO
64029-4502
US

IV. Provider business mailing address

1102 NW CASEY BLVD
GRAIN VALLEY MO
64029-4502
US

V. Phone/Fax

Practice location:
  • Phone: 816-810-5853
  • Fax:
Mailing address:
  • Phone: 816-810-5853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUZANNE LEEMAY SEITZ
Title or Position: OWNER
Credential: LPC
Phone: 816-810-5853