| Mr Tracy Dunlap, LSCSW | |
|
6220 Blue Ridge Cut Off Ste 312, Raytown, MO 64133-3730 | |
| (816) 591-6266 | |
| (816) 313-0764 |
| Full Name | Mr Tracy Dunlap |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6220 Blue Ridge Cut Off Ste 312, Raytown, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013946581 | NPI | - | NPPES |
| 100098010 | Medicaid | KS | |
| 32886013 | Other | KS | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3242 (Nebraska) | Primary |
| 1041C0700X | Social Worker - Clinical | 2003028464 (Missouri) | Secondary |
| Entity Name | Mark Twain Association for Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700933363 PECOS PAC ID: 9436376969 Enrollment ID: O20140807000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy Dunlap, LSCSW 15812 E 77th Pl, Kansas City, MO 64139-1296 Ph: (816) 591-6266 | Mr Tracy Dunlap, LSCSW 6220 Blue Ridge Cut Off Ste 312, Raytown, MO 64133-3730 Ph: (816) 591-6266 |
Donna Ware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10002 E 78th St, Raytown, MO 64138 Phone: 269-369-6655 |
Merlene Gay Brush, M.A. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5239 Blue Ridge Blvd, Raytown, MO 64133 Phone: 816-356-1354 |
Renita T Simmons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5521 Manning Ave, Raytown, MO 64133 Phone: 816-810-6398 |
Mr. Michael Eugene Patterson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Blue Ridge Cutoff Ste 302, Raytown, MO 64133 Phone: 816-806-3399 Fax: 000-000-0000 |
Joseph Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6317 Evanston Ave, Raytown, MO 64133 Phone: 816-353-3939 |
Marika Amrine, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 11517 E 67th St, Raytown, MO 64133 Phone: 816-606-7429 |
Tamika Hanks, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9700 E 84th St, Raytown, MO 64138 Phone: 816-277-2113 |