Organization
KANSAS CITY THERAPY, LLC
Active
Organization
KANSAS CITY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE ELENA BORCHARDT LCSW (PSYCHOTHERAPY/MEMBER OF LLC)
(816) 405-9985
Entity
Organization
Contact information
Practice address
660 SE BAYBERRY LN STE 105, LEES SUMMIT, MO 64063-4264
(816) 599-3918
Mailing address
660 SE BAYBERRY LN STE 105, LEES SUMMIT, MO 64063-4264
(816) 599-3918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011010746
MO
1041C0700X
Clinical Social Worker
2013003118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225304264
—
MO
05
—
1649587148
—
MO
01
—
980336
MISSOURI CARE
MO
01
—
PTAN #H74000010
MEDICARE
MO
Enumeration date
03/22/2016
Last updated
01/30/2025
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