| Core Life Therapy, Llc | |
|
2507 N 73rd Pl Kansas City KS 66109-2419 | |
| (913) 308-2261 | |
| Not Available |
| Full Name | Core Life Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2507 N 73rd Pl, Kansas City, Kansas |
| Authorized Official Name and Position | Monica Mcglory (OWNER) |
| Authorized Official Contact | 9133082261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Life Therapy, Llc 10940 Parallel Pkwy Ste K-167 Kansas City KS 66109-4434 Ph: (913) 308-2261 | Core Life Therapy, Llc 2507 N 73rd Pl Kansas City KS 66109-2419 Ph: (913) 308-2261 |
| NPI Number | 1528819489 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528819489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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