Provider Demographics
NPI:1831603885
Name:LAUVETZ, LARRY JAMES (MA LPC)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:JAMES
Last Name:LAUVETZ
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 N GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3244
Mailing Address - Country:US
Mailing Address - Phone:816-728-7938
Mailing Address - Fax:816-471-1579
Practice Address - Street 1:1509 NE PARVIN RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-2304
Practice Address - Country:US
Practice Address - Phone:816-471-2276
Practice Address - Fax:816-471-1579
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002004525101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health