Provider Demographics
NPI:1639559685
Name:COMMUNITY TREATMENT SERVICES, LLC
Entity type:Organization
Organization Name:COMMUNITY TREATMENT SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:TADOKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-977-3178
Mailing Address - Street 1:1308 S. ALLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034
Mailing Address - Country:US
Mailing Address - Phone:816-977-3178
Mailing Address - Fax:816-572-6838
Practice Address - Street 1:1707 E CEDAR ST STE 102
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1886
Practice Address - Country:US
Practice Address - Phone:816-977-3178
Practice Address - Fax:816-572-6838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
KS3935101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty