Individual
ELIZABETH PENNISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
851 NW 45TH ST STE 104, KANSAS CITY, MO 64116-4613
(913) 602-4030
Mailing address
6631 FLOYD ST, MISSION, KS 66202-3945
(913) 602-4030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025002097
MO
Other
Enumeration date
02/08/2025
Last updated
02/18/2025
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