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General NPI Number Information
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NPI Number | 1548700297
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Entity Type | Individual
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Provider Name | AMANDA ANN EAGLES
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 4801 LINWOOD BLVD.
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City | KANSAS CITY
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State | MO
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Zip | 64128
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Country | US
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Telephone | 816-861-4700
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Fax | 816-922-4866
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Provider Business Mailing Address
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Address Line | 4801 LINWOOD BLVD.
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City | KANSAS CITY
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State | MO
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Zip | 64128
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Country | US
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Telephone | 816-861-4700
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Fax | 816-922-4866
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC005221
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State | MO
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