Healthcare Provider Details

I. General information

NPI: 1750122008
Provider Name (Legal Business Name): KEM RELATIONAL AND TRAUMA THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 WARD PKWY
KANSAS CITY MO
64114-2034
US

IV. Provider business mailing address

6415 WYOMING ST
KANSAS CITY MO
64113-1524
US

V. Phone/Fax

Practice location:
  • Phone: 816-287-3620
  • Fax:
Mailing address:
  • Phone: 816-287-3620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN ERIN MCCARTHER
Title or Position: THERAPIST
Credential: LCMFT
Phone: 816-678-4082