Healthcare Provider Details

I. General information

NPI: 1457288649
Provider Name (Legal Business Name): KARLEE GARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 SW EAGLES PKWY
GRAIN VALLEY MO
64029-8508
US

IV. Provider business mailing address

1412 SW EAGLES PKWY
GRAIN VALLEY MO
64029-8508
US

V. Phone/Fax

Practice location:
  • Phone: 816-443-5279
  • Fax: 816-400-1892
Mailing address:
  • Phone: 816-443-5279
  • Fax: 816-400-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: