Provider Demographics
NPI:1811230899
Name:PSYCHOTHERAPY AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:PSYCHOTHERAPY AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:CORRENTI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:816-468-1981
Mailing Address - Street 1:8113 N OAK TRFY
Mailing Address - Street 2:SUITE F
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1262
Mailing Address - Country:US
Mailing Address - Phone:816-468-1981
Mailing Address - Fax:816-468-1975
Practice Address - Street 1:8113 N OAK TRFY
Practice Address - Street 2:SUITE F
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1262
Practice Address - Country:US
Practice Address - Phone:816-468-1981
Practice Address - Fax:816-468-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000172066101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty