Organization
YOUTH MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GLEASON LPC, LCPC, LPCC, RPT (OWNER/THERAPIST)
(816) 427-1148
Entity
Organization
Contact information
Practice address
1201 NW JEFFERSON ST STE D, BLUE SPRINGS, MO 64015-6400
(816) 427-1148
Mailing address
512 NW PANTHER DR, BLUE SPRINGS, MO 64015-3388
(816) 427-1148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490043878
—
MO
Enumeration date
05/11/2021
Last updated
05/11/2021
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