Provider Demographics
NPI:1255112140
Name:KRANTZ, CYRI (LSCWS, LCSW, LCAC)
Entity type:Individual
Prefix:
First Name:CYRI
Middle Name:
Last Name:KRANTZ
Suffix:
Gender:F
Credentials:LSCWS, LCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12310 GRANADA LN
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2635
Mailing Address - Country:US
Mailing Address - Phone:816-509-1955
Mailing Address - Fax:
Practice Address - Street 1:12310 GRANADA LN
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-2635
Practice Address - Country:US
Practice Address - Phone:816-509-1955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110324831041C0700X
KS40751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical