Healthcare Provider Details

I. General information

NPI: 1396828083
Provider Name (Legal Business Name): OUTREACH THERAPIES & CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 NE PARKS VIEW CT
LEES SUMMIT MO
64064-2353
US

IV. Provider business mailing address

129 NE PARKS VIEW CT
LEES SUMMIT MO
64064-2353
US

V. Phone/Fax

Practice location:
  • Phone: 816-588-3782
  • Fax:
Mailing address:
  • Phone: 816-588-3782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA K KNIGHT
Title or Position: PRESIDENT/OWNER
Credential: SLP
Phone: 816-588-3782