Healthcare Provider Details

I. General information

NPI: 1598810582
Provider Name (Legal Business Name): KVC BEHAVIORAL HEALTHCARE MISSOURI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 E 23RD ST
KANSAS CITY MO
64127-3701
US

IV. Provider business mailing address

1911 E 23RD ST
KANSAS CITY MO
64127-3701
US

V. Phone/Fax

Practice location:
  • Phone: 816-241-3448
  • Fax: 816-231-9368
Mailing address:
  • Phone: 816-241-3448
  • Fax: 816-231-9368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number00042591
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDSEY STEPHENSON
Title or Position: PRESIDENT
Credential:
Phone: 816-241-3448