Organization
THE TRINITY GROUP OF KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASANDRA A JOHNSON (AGENCY PRINCIPAL)
(913) 215-4822
Entity
Organization
Contact information
Practice address
8826 SANTA FE DR, SUITE 219, OVERLAND PARK, KS 66212-3655
(816) 945-6612
(866) 264-4946
Mailing address
8826 SANTA FE DR, SUITE 219, OVERLAND PARK, KS 66212-3655
(816) 945-6612
(866) 264-4946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016027520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002571300
CHILDRENS DIVISION
MO
Enumeration date
05/04/2017
Last updated
05/04/2017
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