Healthcare Provider Details

I. General information

NPI: 1649481573
Provider Name (Legal Business Name): COUNSELING CENTER FOR HUMAN DEVELOPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 W 66TH TERRACE
KANSAS CITY MO
64113-0335
US

IV. Provider business mailing address

PO BOX 22335
KANSAS CITY MO
64113-0335
US

V. Phone/Fax

Practice location:
  • Phone: 816-361-2694
  • Fax:
Mailing address:
  • Phone: 816-361-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY DIAN MOLTON
Title or Position: VICE PRESIDENT
Credential: LSCSW
Phone: 816-361-3190