Healthcare Provider Details

I. General information

NPI: 1366303687
Provider Name (Legal Business Name): ALLISON RICHTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 6TH ST
PARKVILLE MO
64152-3703
US

IV. Provider business mailing address

400 E 6TH ST
PARKVILLE MO
64152-3703
US

V. Phone/Fax

Practice location:
  • Phone: 816-505-4787
  • Fax: 816-441-3720
Mailing address:
  • Phone: 816-505-4787
  • Fax: 816-441-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2014036759
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: