Individual
LASHONDA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7546 TROOST AVE, KANSAS CITY, MO 64131-2078
(816) 882-0083
Mailing address
7546 TROOST AVE, KANSAS CITY, MO 64131-2078
(816) 882-0083
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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