Provider Demographics
NPI:1831463660
Name:ONEIL ON BARKLEY COUNSELING LLC
Entity Type:Organization
Organization Name:ONEIL ON BARKLEY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:O'NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:816-590-0206
Mailing Address - Street 1:10551 BARKLEY ST
Mailing Address - Street 2:SUITE 512
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1812
Mailing Address - Country:US
Mailing Address - Phone:816-590-0206
Mailing Address - Fax:913-317-8193
Practice Address - Street 1:10551 BARKLEY ST
Practice Address - Street 2:SUITE 512
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1812
Practice Address - Country:US
Practice Address - Phone:816-590-0206
Practice Address - Fax:913-317-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS19511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P248808AOtherMEDICARE IDENTIFICATION NUMBER