Healthcare Provider Details

I. General information

NPI: 1750943536
Provider Name (Legal Business Name): MELISSA ROWLISON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 N OAK TRFY STE 208
KANSAS CITY MO
64118-1270
US

IV. Provider business mailing address

8320 N OAK TRFY STE 208
KANSAS CITY MO
64118-1270
US

V. Phone/Fax

Practice location:
  • Phone: 816-394-0936
  • Fax:
Mailing address:
  • Phone: 816-394-0936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04033
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025050061
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: