Organization
AMEND NEUROCOUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN NICOLE KING LCMFT (OWNER)
(816) 810-9046
Entity
Organization
Contact information
Practice address
8900 INDIAN CREEK PKWY, SUITE 270, OVERLAND PARK, KS 66210-1554
(913) 955-3250
(913) 955-3259
Mailing address
8900 INDIAN CREEK PKWY, SUITE 270, OVERLAND PARK, KS 66210-1554
(913) 955-3250
(913) 955-3259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
755
KS
106H00000X
Marriage & Family Therapist
Primary
840
KS
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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