Provider Demographics
NPI:1447800875
Name:BAHADOORSINGH, GALEN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:GALEN
Middle Name:
Last Name:BAHADOORSINGH
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 N SUMMIT ST UNIT 4111
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4187
Mailing Address - Country:US
Mailing Address - Phone:816-490-7877
Mailing Address - Fax:
Practice Address - Street 1:10601 KAW DR STE B2
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66111-1130
Practice Address - Country:US
Practice Address - Phone:816-490-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3494101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health