Organization
A THERAPIST CLINICAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTA TINNEY LCSW (BEHAVIORAL HEALTH THERAPIST)
(816) 237-0006
Entity
Organization
Contact information
Practice address
600 SW JEFFERSON ST, LEES SUMMIT, MO 64063-3988
(816) 237-0006
Mailing address
PO BOX 21, LEES SUMMIT, MO 64063-0021
(816) 237-0006
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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