Organization
FOSTERING AMBITION TO INITIATE THERAPEUTIC HEALING THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESHAUNDA ROCKETT-DIXON MSW, LCSW, AADC (CHIEF EXECUTIVE OFFICER)
(816) 944-0858
Entity
Organization
Contact information
Practice address
30 W PERSHING RD UNIT 413709, KANSAS CITY, MO 64141-7610
(816) 944-0858
Mailing address
30 W PERSHING RD UNIT 413709, KANSAS CITY, MO 64141-7610
(816) 944-0858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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