Provider Demographics
NPI:1982081857
Name:BINGER, MALENA JEAN (MA)
Entity Type:Individual
Prefix:MS
First Name:MALENA
Middle Name:JEAN
Last Name:BINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MALENA
Other - Middle Name:JEAN
Other - Last Name:CASTEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:9307 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-2803
Mailing Address - Country:US
Mailing Address - Phone:949-689-3765
Mailing Address - Fax:
Practice Address - Street 1:2901 TROOST AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1538
Practice Address - Country:US
Practice Address - Phone:714-547-6494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018036458101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional