Organization
LIFESTREAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J.D. KEMP (OWNER / DIRECTOR)
(913) 945-1215
Entity
Organization
Contact information
Practice address
5229 NE 56TH PLACE, KANSAS CITY, MO 64119
(913) 945-1215
Mailing address
3965 WEST 83RD STREET, SUITE #126, PRAIRIE VILLAGE, KS 66208
(913) 945-1215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/28/2019
Last updated
12/03/2020
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