Organization
SUCCESSFUL EDGE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY ARNOLD ARCHIE LPC (LICENSE PROFESSIONAL COUNSELOR)
(816) 807-6605
Entity
Organization
Contact information
Practice address
6301 ROCKHILL RD, KANSAS CITY, MO 64131-1124
(816) 807-6605
Mailing address
6013 WOODLAND AVE, KANSAS CITY, MO 64110-3555
(816) 807-6605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012037387
MO
251S00000X
Community/Behavioral Health Agency
2012037387
MO
Other
Enumeration date
08/23/2014
Last updated
08/23/2014
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