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NPI Code Detail

MEDICARE: AMANDA ANN EAGLES

MEDICARE: AMANDA ANN EAGLES
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
1101YM0800XMental Health CounselorAPC005221GA
2374700000XTechnicianMO

General Provider Information

NPI Number : 1548700297
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ANN EAGLES
Provider Business Mailing Address
First Line : 4801 LINWOOD BLVD.
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128
Country : US
Telephone Number : 816-861-4700
Fax Number : 816-922-4866
Provider Business Practice Location Address
First Line : 4801 LINWOOD BLVD.
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128
Country : US
Telephone Number : 816-861-4700
Fax Number : 816-922-4866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2017
Last Update Date : 01/29/2026

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Directions to “ AMANDA ANN EAGLES ” Practice Location

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