Organization
MY MENTAL HEALTH IS KICKING IN LLC
Active
Other names
My Mental Health Is Kicking In LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHATAURA ANDERSON (OWNER)
(725) 335-5159
Entity
Organization
Contact information
Practice address
12300 E US HIGHWAY 40 STE A, INDEPENDENCE, MO 64055-6008
(725) 335-5159
Mailing address
12300 E US HIGHWAY 40 STE A, INDEPENDENCE, MO 64055-6008
(725) 335-5159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
09/03/2025
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