Organization
EMPOWERING PARENTS
Active
Organization
EMPOWERING PARENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SIMONS-BRACKEN LCSW (CHIEF EXECUTIVE OFFICER)
(816) 500-6436
Entity
Organization
Contact information
Practice address
668 SE BAYBERRY LN STE 101, LEES SUMMIT, MO 64063-4366
(816) 500-6436
Mailing address
668 SE BAYBERRY LN, LEES SUMMIT, MO 64063-4354
(816) 260-6982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/02/2019
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