Healthcare Provider Details
I. General information
NPI: 1730650706
Provider Name (Legal Business Name): THE METROPOLIS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
751 E 63RD ST STE 209
KANSAS CITY MO
64110-3385
US
IV. Provider business mailing address
751 E 63RD ST STE 209
KANSAS CITY MO
64110-3385
US
V. Phone/Fax
- Phone: 816-656-1995
- Fax:
- Phone: 816-605-1899
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KIMBERLY
RENEE
BRITTON
Title or Position: PSYCHOTHERAPIST, PLPC
Credential: PHD, CCMFT, MS, PLPC
Phone: 816-605-1899