# AMITY MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134974355
- **Authorized official:** MS. SAMANTHA LEMON (PRESIDENT, CO-FOUNDER, CO-CEO, CXO)
- **Authorized official phone:** (816) 400-8739

## Contact information

- **Practice address:** 7101 N CHERRY ST, GLADSTONE, MO 64118-2644
- **Practice address phone:** (816) 400-8739
- **Mailing address:** 7101 N CHERRY ST, GLADSTONE, MO 64118-2644
- **Mailing address phone:** (816) 400-8739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024