Organization
LILAC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY TIBBITTS LSCSW (DIRECTOR)
(816) 221-0305
Entity
Organization
Contact information
Practice address
1029 PENNSYLVANIA AVE, KANSAS CITY, MO 64105-1334
(816) 221-0305
(816) 221-9121
Mailing address
1029 PENNSYLVANIA AVE, KANSAS CITY, MO 64105-1334
(816) 221-0305
(816) 221-9121
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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