Provider Demographics
NPI:1386184927
Name:LYMPUS COUNSELING LLC
Entity Type:Organization
Organization Name:LYMPUS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYMPUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-614-6515
Mailing Address - Street 1:7307 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3619
Mailing Address - Country:US
Mailing Address - Phone:314-614-6515
Mailing Address - Fax:
Practice Address - Street 1:601 E 63RD ST STE 340
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3303
Practice Address - Country:US
Practice Address - Phone:314-614-6515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008029739251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health