Provider Demographics
NPI:1174837835
Name:PRESLEY, RICHARD LEE (MS LCMFT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LEE
Last Name:PRESLEY
Suffix:
Gender:M
Credentials:MS LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12710 S PFLUMM RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3882
Mailing Address - Country:US
Mailing Address - Phone:913-738-4757
Mailing Address - Fax:913-440-4434
Practice Address - Street 1:12710 S PFLUMM RD
Practice Address - Street 2:SUITE 204
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3882
Practice Address - Country:US
Practice Address - Phone:913-738-4757
Practice Address - Fax:913-440-4434
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS832106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200665480AMedicaid