Healthcare Provider Details

I. General information

NPI: 1992578140
Provider Name (Legal Business Name): FRANCES MARIE CANADAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 E 63RD ST
KANSAS CITY MO
64110-3385
US

IV. Provider business mailing address

751 E 63RD ST STE 420
KANSAS CITY MO
64110-3357
US

V. Phone/Fax

Practice location:
  • Phone: 816-323-8613
  • Fax:
Mailing address:
  • Phone: 816-323-8613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025040632
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: