Provider Demographics
NPI:1851010979
Name:SILVA, LUCIANA R
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:R
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 BIRDIE WAY APT C211
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-3518
Mailing Address - Country:US
Mailing Address - Phone:785-505-0300
Mailing Address - Fax:
Practice Address - Street 1:8220 TRAVIS ST STE 205
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3966
Practice Address - Country:US
Practice Address - Phone:913-735-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical