Organization
CREATING 2ND CHANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA LYNN THOMPSON LPC (OWNER/FAMILY SERVICES SPECIALIST)
(816) 679-0914
Entity
Organization
Contact information
Practice address
508 NE SPRING CREEK PL, LEES SUMMIT, MO 64086-7089
(816) 223-4267
Mailing address
508 NE SPRING CREEK PL, LEES SUMMIT, MO 64086-7089
(816) 679-0914
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/27/2018
Last updated
01/15/2019
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