Provider Demographics
NPI:1013921683
Name:HEALTHY FAMILIES COUNSELING & SUPPORT, INC.
Entity type:Organization
Organization Name:HEALTHY FAMILIES COUNSELING & SUPPORT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEUBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:816-468-6336
Mailing Address - Street 1:3100 NE 83RD ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-4400
Mailing Address - Country:US
Mailing Address - Phone:816-468-6336
Mailing Address - Fax:816-468-0289
Practice Address - Street 1:3100 NE 83RD ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-4400
Practice Address - Country:US
Practice Address - Phone:816-468-6336
Practice Address - Fax:816-468-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO58910913OtherTPIN
MOD340000Medicare ID - Type UnspecifiedGROUP NUMBER