Individual
MR. LARRY E SIDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC, LCSW
Contact information
Practice address
3101 BROADWAY ST, SUITE 230, KANSAS CITY, MO 64111-2659
(816) 531-2900
(816) 531-2901
Mailing address
9812 WINSLOW PL, KANSAS CITY, MO 64131-3269
(816) 942-5555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000729
MO
1041C0700X
Clinical Social Worker
Primary
003878
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127826
NEW DIRECTIONS BEHAVIORAL
MO
01
—
28784029
BLUECROSS BLUE SHIELDS
MO
Enumeration date
05/03/2006
Last updated
09/11/2025
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