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Organization
AMITY MENTAL HEALTH
Active
Organization
AMITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA LEMON (PRESIDENT, CO-FOUNDER, CO-CEO, CXO)
(816) 400-8739
Entity
Organization
Contact information
Practice address
7101 N CHERRY ST, GLADSTONE, MO 64118-2644
(816) 400-8739
Mailing address
7101 N CHERRY ST, GLADSTONE, MO 64118-2644
(816) 400-8739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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