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Organization
RESILIENT HOPE KC LLC
Active
Organization
RESILIENT HOPE KC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE DOUBENMIER MILLER M.A. (L.P.C.)
(816) 520-8189
Entity
Organization
Contact information
Practice address
705 VIRGINIA AVE, KANSAS CITY, MO 64106-1744
(816) 520-8189
Mailing address
3371 SW SENSATION DR APT 1035, LEES SUMMIT, MO 64081-7811
(816) 520-8189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619953155
NPI
—
05
—
497196303
—
MO
Enumeration date
09/17/2018
Last updated
09/17/2018
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