Provider Demographics
NPI:1598054033
Name:SILVER LINING COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SILVER LINING COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:OTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-228-4373
Mailing Address - Street 1:320 NW WOODS CHAPEL RD
Mailing Address - Street 2:STE. C
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3282
Mailing Address - Country:US
Mailing Address - Phone:816-228-4373
Mailing Address - Fax:
Practice Address - Street 1:320 NW WOODS CHAPEL RD
Practice Address - Street 2:STE. C
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3282
Practice Address - Country:US
Practice Address - Phone:816-228-4373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110033041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty