Provider Demographics
NPI:1215582986
Name:ANEW MENTALITY LLC
Entity Type:Organization
Organization Name:ANEW MENTALITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-839-3914
Mailing Address - Street 1:1201 NW BRIARCLIFF PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1772
Mailing Address - Country:US
Mailing Address - Phone:314-441-6581
Mailing Address - Fax:
Practice Address - Street 1:1201 NW BRIARCLIFF PKWY STE 200
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1772
Practice Address - Country:US
Practice Address - Phone:314-441-6581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty