Provider Demographics
NPI:1326514605
Name:KARIOTIS, AMY ANN (MA, PLPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ANN
Last Name:KARIOTIS
Suffix:
Gender:F
Credentials:MA, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1105
Mailing Address - Country:US
Mailing Address - Phone:816-260-2586
Mailing Address - Fax:
Practice Address - Street 1:633 E 63RD ST STE 230
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3331
Practice Address - Country:US
Practice Address - Phone:816-533-5918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018036501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health