Healthcare Provider Details

I. General information

NPI: 1699517995
Provider Name (Legal Business Name): HOARDS HEART THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7516 STERLING AVE
RAYTOWN MO
64138-2449
US

IV. Provider business mailing address

7516 STERLING AVE
RAYTOWN MO
64138-2449
US

V. Phone/Fax

Practice location:
  • Phone: 816-629-8200
  • Fax: 816-629-8300
Mailing address:
  • Phone: 816-629-8200
  • Fax: 816-629-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENITA HOARD
Title or Position: PRESIDENT/OWNER
Credential: LCSW
Phone: 816-629-8200