Healthcare Provider Details

I. General information

NPI: 1609776491
Provider Name (Legal Business Name): TR COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2026
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 E 43RD ST S STE 101
INDEPENDENCE MO
64055-5911
US

IV. Provider business mailing address

9240 MCGEE ST
KANSAS CITY MO
64114-3721
US

V. Phone/Fax

Practice location:
  • Phone: 816-319-4747
  • Fax:
Mailing address:
  • Phone: 816-319-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY JO BENNETT
Title or Position: LPC
Credential: LPC
Phone: 816-319-4747