Provider Demographics
NPI:1952871352
Name:BARIATRIC EATING DISORDERS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BARIATRIC EATING DISORDERS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DCOUN, LCMFT
Authorized Official - Phone:913-676-8620
Mailing Address - Street 1:23351 PRAIRIE STAR PKWY STE A275
Mailing Address - Street 2:23351 PRAIRIE STAR PARKWAY SUITE A275
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-6201
Mailing Address - Country:US
Mailing Address - Phone:913-676-8620
Mailing Address - Fax:913-676-8670
Practice Address - Street 1:23351 PRAIRIE STAR PARKWAY
Practice Address - Street 2:SUITE A275
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227
Practice Address - Country:US
Practice Address - Phone:913-676-8620
Practice Address - Fax:913-676-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty