Healthcare Provider Details

I. General information

NPI: 1598110116
Provider Name (Legal Business Name): TRI-COUNTY MENTAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 12/18/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NE 83RD ST SUITE 1001
KANSAS CITY MO
64119-4400
US

IV. Provider business mailing address

3100 NE 83RD ST SUITE 1001
KANSAS CITY MO
64119-4400
US

V. Phone/Fax

Practice location:
  • Phone: 816-468-0400
  • Fax: 816-468-6635
Mailing address:
  • Phone: 816-468-0400
  • Fax: 816-468-6635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MARIE HOLM
Title or Position: CHIEF QUALITY & COMPLIANCE OFFICER
Credential:
Phone: 816-468-0400