MEDICARE: LILAC CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2000174524	MO
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477877223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LILAC CENTER LLC

Provider Business Mailing Address
First Line	:	2029 BUCHANAN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-3405
Country	:	US
Telephone Number	:	816-221-0305
Fax Number	:	816-221-9121

Provider Business Practice Location Address
First Line	:	2029 BUCHANAN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-3405
Country	:	US
Telephone Number	:	816-221-0305
Fax Number	:	816-221-9121

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. AMY M TIBBITTS
Credential	:	LCSW
Telephone Number	:	816-221-0305

Provider Enumeration Date	:	03/23/2010
Last Update Date	:	05/23/2025

Similar Medicare Providers

1184461550 — TENNILLE HADLEY LMSW
Practice Location Address:

2029 BUCHANAN ST
KANSAS CITY, MO
64116-3405

Practice Phone: 816-221-0305
Practice Fax: 816-221-9121

1023037124 — MRS. CHRISTINE URIE MSW
Practice Location Address:

2029 BUCHANAN ST
NORTH KANSAS CITY, MO
64116-3405

Practice Phone: 816-474-7322
Practice Fax: 816-474-6202

1841349933 — AMY MARIE TIBBITTS LCSW
Practice Location Address:

2029 BUCHANAN ST
KANSAS CITY, MO
64116-3405

Practice Phone: 816-221-0305
Practice Fax: 816-221-9121

1598960627 — URIE & URIE, INC
Practice Location Address:

2029 BUCHANAN ST
NORTH KANSAS CITY, MO
64116-3405

Practice Phone: 816-474-7322
Practice Fax: 816-474-6202

1184871055 — CHRISTINE A TRUEBLOOD M.D.
Practice Location Address:

2029 BUCHANAN ST
KANSAS CITY, MO
64116-3405

Practice Phone: 816-221-0305
Practice Fax: 816-221-9121

1689082448 — EUWER PROFESSIONAL COUNSELING,LLC
Practice Location Address:

2029 BUCHANAN ST
KANSAS CITY, MO
64116-3405

Practice Phone: 816-803-0552
Practice Fax:

Directions to “LILAC CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.