Provider Demographics
NPI:1386388916
Name:EXPRESSIVE ARTS THERAPY KC LLC
Entity type:Organization
Organization Name:EXPRESSIVE ARTS THERAPY KC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-318-4318
Mailing Address - Street 1:7919 W 54TH TER
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1135
Mailing Address - Country:US
Mailing Address - Phone:816-695-6838
Mailing Address - Fax:
Practice Address - Street 1:5505 FOXRIDGE DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1556
Practice Address - Country:US
Practice Address - Phone:913-318-4318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty