Provider Demographics
NPI:1477958916
Name:HOOLEY, AUBREY (PLPC)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:HOOLEY
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 E 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3366
Mailing Address - Country:US
Mailing Address - Phone:913-226-5591
Mailing Address - Fax:
Practice Address - Street 1:8341 NW MACE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64152-4618
Practice Address - Country:US
Practice Address - Phone:913-325-4602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013038019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health