Healthcare Provider Details

I. General information

NPI: 1871031690
Provider Name (Legal Business Name): CATHERINE A PAPACHRISTOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2017
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 W 82ND TER
KANSAS CITY MO
64114-2410
US

IV. Provider business mailing address

126 W 82ND TER
KANSAS CITY MO
64114-2410
US

V. Phone/Fax

Practice location:
  • Phone: 706-389-4649
  • Fax:
Mailing address:
  • Phone: 706-389-4649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCSW005809
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE PAPACHRISTOU
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 706-389-4649