Provider Demographics
NPI:1407630056
Name:JOURNEY COUNSELING KC LLC
Entity Type:Organization
Organization Name:JOURNEY COUNSELING KC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, PRACTICE OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RENDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT, LMFT
Authorized Official - Phone:913-605-6997
Mailing Address - Street 1:5201 JOHNSON DR STE 305
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2920
Mailing Address - Country:US
Mailing Address - Phone:913-605-6997
Mailing Address - Fax:913-229-7511
Practice Address - Street 1:5201 JOHNSON DR STE 305
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66205-2920
Practice Address - Country:US
Practice Address - Phone:913-605-6997
Practice Address - Fax:913-229-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty