Provider Demographics
NPI:1598168957
Name:ADVANCED CLINICAL SOLUTIONS
Entity Type:Organization
Organization Name:ADVANCED CLINICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:816-977-3178
Mailing Address - Street 1:1715 E CEDAR ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1891
Mailing Address - Country:US
Mailing Address - Phone:816-682-3042
Mailing Address - Fax:816-554-9142
Practice Address - Street 1:1715 E CEDAR ST
Practice Address - Street 2:SUITE 115
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1891
Practice Address - Country:US
Practice Address - Phone:816-682-3042
Practice Address - Fax:816-554-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS39351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty