Healthcare Provider Details

I. General information

NPI: 1659297570
Provider Name (Legal Business Name): ALEXIS SINCLAIR CPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 S ELIZABETH ST STE 200
INDEPENDENCE MO
64057-1785
US

IV. Provider business mailing address

3737 S ELIZABETH ST STE 200
INDEPENDENCE MO
64057-1785
US

V. Phone/Fax

Practice location:
  • Phone: 816-768-0090
  • Fax: 816-912-1739
Mailing address:
  • Phone: 816-768-0090
  • Fax: 816-912-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number21711
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: