Organization
GREAT OAKS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CLARK (CEO)
(913) 349-1458
Entity
Organization
Contact information
Practice address
1511 WESTPORT RD, KANSAS CITY, MO 64111-4307
(913) 349-1458
Mailing address
1942 STEWART AVE APT G20, LAWRENCE, KS 66046-2513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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