Provider Demographics
NPI:1689440364
Name:DOWD PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:DOWD PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPC
Authorized Official - Phone:872-588-0153
Mailing Address - Street 1:4049 PENNSYLVANIA AVE
Mailing Address - Street 2:STE 230 PMB1100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3085
Mailing Address - Country:US
Mailing Address - Phone:872-588-0153
Mailing Address - Fax:
Practice Address - Street 1:4049 PENNSYLVANIA AVE STE 203
Practice Address - Street 2:PMB1100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3022
Practice Address - Country:US
Practice Address - Phone:872-588-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty