Provider Demographics
NPI:1295444024
Name:BIDWELL, HANNAH CHRISTINE (PLPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:BIDWELL
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10416 HILLCREST RD APT 21
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-4410
Mailing Address - Country:US
Mailing Address - Phone:660-853-9720
Mailing Address - Fax:
Practice Address - Street 1:3720 NE TROON DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1988
Practice Address - Country:US
Practice Address - Phone:816-826-1734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022004502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health