Provider Demographics
NPI:1710531462
Name:LATIMER, RENAE WHITNEY (LCPC, LPC,RPT)
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:WHITNEY
Last Name:LATIMER
Suffix:
Gender:F
Credentials:LCPC, LPC,RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13505 S MUR LEN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1600
Mailing Address - Country:US
Mailing Address - Phone:913-308-1576
Mailing Address - Fax:
Practice Address - Street 1:10256 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4674
Practice Address - Country:US
Practice Address - Phone:913-308-1576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MO2014001281101YP2500X
KS2718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional