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NPI Code Detail

MEDICARE: PSYCHPROS OF KANSAS CITY

MEDICARE: PSYCHPROS OF KANSAS CITY
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 CounselorMO

General Provider Information

NPI Number : 1629529888
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHPROS OF KANSAS CITY
Provider Business Mailing Address
First Line : 600 NW MURRAY RD
Second Line : SUITE 300
City : LEES SUMMIT
State : MO
Zip : 64081-1238
Country : US
Telephone Number : 816-242-5656
Fax Number : 816-817-8820
Provider Business Practice Location Address
First Line : 600 NW MURRAY RD
Second Line : SUITE 300
City : LEES SUMMIT
State : MO
Zip : 64081-1238
Country : US
Telephone Number : 816-242-5656
Fax Number : 816-817-8820
Authorized Official
Title or Position : CEO
Name : MR. CHRISTOPHER MADISON COBB
Credential : LPC
Telephone Number : 816-272-5656
Provider Enumeration Date : 10/21/2016
Last Update Date : 02/02/2024

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Directions to “PSYCHPROS OF KANSAS CITY ” Practice Location

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