Provider Demographics
NPI:1790187060
Name:MICHAEL ART ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MICHAEL ART ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ART
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:816-204-1856
Mailing Address - Street 1:10523 BRIDLESPUR DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4712
Mailing Address - Country:US
Mailing Address - Phone:816-204-1856
Mailing Address - Fax:
Practice Address - Street 1:12600 EAST 40 HIGHWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5909
Practice Address - Country:US
Practice Address - Phone:815-204-1856
Practice Address - Fax:816-478-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOOO11921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty