Provider Demographics
NPI:1295578342
Name:MAGIS MENTAL HEALTH COUNSELING LLC
Entity type:Organization
Organization Name:MAGIS MENTAL HEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:816-876-6768
Mailing Address - Street 1:9406 JARBOE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3202
Mailing Address - Country:US
Mailing Address - Phone:816-876-6768
Mailing Address - Fax:
Practice Address - Street 1:9406 JARBOE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3202
Practice Address - Country:US
Practice Address - Phone:816-876-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)