Provider Demographics
NPI:1407317225
Name:URNESS, MAUREEN TERESA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:TERESA
Last Name:URNESS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16005 CODY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-7627
Mailing Address - Country:US
Mailing Address - Phone:785-766-1434
Mailing Address - Fax:
Practice Address - Street 1:1423 HASKELL AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3565
Practice Address - Country:US
Practice Address - Phone:785-766-1434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health