Organization
MIND BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DEFOE LCSW (THERAPIST)
(816) 287-4166
Entity
Organization
Contact information
Practice address
222 W GREGORY BLVD STE 310, KANSAS CITY, MO 64114-1127
(816) 287-4166
Mailing address
4322 ROCKHILL RD, KANSAS CITY, MO 64110-1533
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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