Organization
FOSTERING AMBITION TO INITIATE THERAPEUTIC HEALING THERAPY GROUP
Active
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
Update your record
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