Organization
CENTRAL STATES MENTAL HEALTH CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J HICKEY LCSW (CEO)
(816) 224-4417
Entity
Organization
Contact information
Practice address
1132 SW LUTTRELL RD STE F, BLUE SPRINGS, MO 64015-4900
(816) 224-4417
Mailing address
1132 SW LUTTRELL RD STE F, BLUE SPRINGS, MO 64015-4900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496720905
—
MO
Enumeration date
07/11/2008
Last updated
07/11/2008
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