Healthcare Provider Details

I. General information

NPI: 1043491947
Provider Name (Legal Business Name): INSTITUTE FOR PARENTING AND FAMILY DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 E 57TH ST
KANSAS CITY MO
64129-2713
US

IV. Provider business mailing address

PO BOX 18544
KANSAS CITY MO
64133-8544
US

V. Phone/Fax

Practice location:
  • Phone: 816-516-0680
  • Fax:
Mailing address:
  • Phone: 816-516-0680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH E. WHITE
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC
Phone: 816-516-0680