Provider Demographics
NPI:1174680904
Name:THE CHILDREN'S PLACE, INC.
Entity Type:Organization
Organization Name:THE CHILDREN'S PLACE, INC.
Other - Org Name:THE CHILDRENS PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING & PAYROLL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-363-1898
Mailing Address - Street 1:6401 ROCKHILL RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1122
Mailing Address - Country:US
Mailing Address - Phone:816-363-1898
Mailing Address - Fax:816-822-7711
Practice Address - Street 1:6401 ROCKHILL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1122
Practice Address - Country:US
Practice Address - Phone:816-363-1898
Practice Address - Fax:816-822-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO876207606Medicaid
MO84267254Medicaid
MO500087606Medicaid