Provider Demographics
NPI:1811364003
Name:SUMLER COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:SUMLER COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUMLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:816-763-7605
Mailing Address - Street 1:419 MESA CANYON DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-3345
Mailing Address - Country:US
Mailing Address - Phone:816-763-7605
Mailing Address - Fax:
Practice Address - Street 1:400 E BANNISTER RD
Practice Address - Street 2:STE, A
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3065
Practice Address - Country:US
Practice Address - Phone:816-763-7605
Practice Address - Fax:816-763-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002030207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty