Provider Demographics
NPI:1346907235
Name:CAHILL, SEAN P (PLPC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:P
Last Name:CAHILL
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SE FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2843
Mailing Address - Country:US
Mailing Address - Phone:816-678-7746
Mailing Address - Fax:
Practice Address - Street 1:9229 WARD PKWY STE 260
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3333
Practice Address - Country:US
Practice Address - Phone:816-945-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021047119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional