Provider Demographics
NPI:1396815338
Name:MCDONNELL & ASSOCIATES
Entity Type:Organization
Organization Name:MCDONNELL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LSCSW
Authorized Official - Phone:816-561-2734
Mailing Address - Street 1:4010 WASHINGTON ST
Mailing Address - Street 2:401
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2609
Mailing Address - Country:US
Mailing Address - Phone:816-561-2374
Mailing Address - Fax:816-561-2374
Practice Address - Street 1:4010 WASHINGTON ST
Practice Address - Street 2:401
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2609
Practice Address - Country:US
Practice Address - Phone:816-561-2374
Practice Address - Fax:816-561-2374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002001700251S00000X
KS2227251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health