Organization
VERGE KC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY DURHAM LSCSW, LCSW, LMAC (THERAPIST)
(913) 270-2401
Entity
Organization
Contact information
Practice address
4121 W 83RD ST STE 227, PRAIRIE VILLAGE, KS 66208-5323
(913) 270-2401
Mailing address
119 W GREGORY BLVD UNIT 8645, KANSAS CITY, MO 64114-1338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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