Healthcare Provider Details

I. General information

NPI: 1962652321
Provider Name (Legal Business Name): COUNSELING PSYCHOLOGISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 STATE LINE RD SUITE 226
KANSAS CITY MO
64114-6801
US

IV. Provider business mailing address

7611 STATE LINE RD SUITE 226
KANSAS CITY MO
64114-6801
US

V. Phone/Fax

Practice location:
  • Phone: 816-753-7071
  • Fax: 816-926-9180
Mailing address:
  • Phone: 816-753-7071
  • Fax: 816-926-9180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPY01564
License Number StateMO

VIII. Authorized Official

Name: PROF. LORI B SCHWARTZ
Title or Position: OWNER & PSYCHOLOGIST
Credential: PHD
Phone: 816-753-7071