Provider Demographics
NPI:1013424043
Name:STOLLENWERK, VANIDEE (LPC)
Entity type:Individual
Prefix:
First Name:VANIDEE
Middle Name:
Last Name:STOLLENWERK
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8151 N DENVER AVE APT 3245
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1076
Mailing Address - Country:US
Mailing Address - Phone:816-286-0355
Mailing Address - Fax:
Practice Address - Street 1:7509 NW TIFFANY SPRINGS PKWY STE 320
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1387
Practice Address - Country:US
Practice Address - Phone:816-500-1355
Practice Address - Fax:816-569-6797
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional