Provider Demographics
NPI:1669636676
Name:OPEN HANDS COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:OPEN HANDS COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SINORA
Authorized Official - Middle Name:LEVETTE
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-822-1207
Mailing Address - Street 1:5726 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-3346
Mailing Address - Country:US
Mailing Address - Phone:816-289-5693
Mailing Address - Fax:816-822-1207
Practice Address - Street 1:5726 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-3346
Practice Address - Country:US
Practice Address - Phone:816-289-5693
Practice Address - Fax:816-822-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004015737251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1760605638Medicaid