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Organization

AMITY MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAMANTHA LEMON (PRESIDENT, CO-FOUNDER, CO-CEO, CXO)
(816) 400-8739
Entity
Organization

Contact information

Practice address
7101 N CHERRY ST, GLADSTONE, MO 64118-2644
(816) 400-8739
Mailing address
7101 N CHERRY ST, GLADSTONE, MO 64118-2644
(816) 400-8739

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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