Provider Demographics
NPI:1467147843
Name:RICH, ZACHARY EDWARDS (MA COUNSELING, PLPC)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:EDWARDS
Last Name:RICH
Suffix:
Gender:M
Credentials:MA COUNSELING, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 N SAINT CLAIR AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-5114
Mailing Address - Country:US
Mailing Address - Phone:913-257-3161
Mailing Address - Fax:
Practice Address - Street 1:8350 N SAINT CLAIR AVE STE 275
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-5114
Practice Address - Country:US
Practice Address - Phone:913-257-3161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022040529101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional