Healthcare Provider Details

I. General information

NPI: 1528974599
Provider Name (Legal Business Name): LISA HOANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 OAK ST STE A-4
KANSAS CITY MO
64113-2240
US

IV. Provider business mailing address

5706 N HIGHLAND AVE
KANSAS CITY MO
64118-5412
US

V. Phone/Fax

Practice location:
  • Phone: 816-343-8289
  • Fax:
Mailing address:
  • Phone: 816-588-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2025021747
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: