Provider Demographics
NPI:1851836530
Name:CLIFFORD, CHARITY ELAINE (LMFT)
Entity Type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:ELAINE
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:ELAINE
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13115
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66282-3115
Mailing Address - Country:US
Mailing Address - Phone:913-488-2178
Mailing Address - Fax:913-273-6643
Practice Address - Street 1:155 S 18TH ST
Practice Address - Street 2:STE 200
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-5642
Practice Address - Country:US
Practice Address - Phone:801-502-8492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2591106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist