# BELLATORE RECOVERY

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

## Provider details

- **NPI number:** 1184124422
- **Authorized official:** KIRSTEN OELKLAUS (OWNER)
- **Authorized official phone:** (913) 908-6786

## Contact information

- **Practice address:** 16979 W 94TH ST SUITE D, LENEXA, KS 66219
- **Practice address phone:** (913) 725-0095
- **Mailing address:** 16979 W 94TH ST SUITE D, LENEXA, KS 66219
- **Mailing address phone:** (913) 725-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 921 | KS | — |
| 1041C0700X | Clinical Social Worker | 2432 | KS | Yes |
| 1041C0700X | Clinical Social Worker | 5751 | KS | — |
| 133V00000X | Registered Dietitian | 813812 | KS | — |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 02/13/2018