Provider Demographics
NPI:1245067834
Name:HOROSZ, CONNIE (MS, LCPC, LPC)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:HOROSZ
Suffix:
Gender:F
Credentials:MS, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 WOODSONIA DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-3137
Mailing Address - Country:US
Mailing Address - Phone:913-515-7837
Mailing Address - Fax:913-422-8239
Practice Address - Street 1:8500 WOODSONIA DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227-3137
Practice Address - Country:US
Practice Address - Phone:913-515-7837
Practice Address - Fax:913-422-8239
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020026671101YP2500X
KS2413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional