| Lakewood Family Therapy | |
|
3367 Ne Ralph Powell Rd Lees Summit MO 64064-2368 | |
| (816) 663-9751 | |
| Not Available |
| Full Name | Lakewood Family Therapy |
|---|---|
| Speciality | Counselor |
| Location | 3367 Ne Ralph Powell Rd, Lees Summit, Missouri |
| Authorized Official Name and Position | Cary Corley (OWNER) |
| Authorized Official Contact | 8164901352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Therapy 3367 Ne Ralph Powell Rd Lees Summit MO 64064-2368 Ph: (816) 663-9751 | Lakewood Family Therapy 3367 Ne Ralph Powell Rd Lees Summit MO 64064-2368 Ph: (816) 663-9751 |
| NPI Number | 1730854902 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Medicare PECOS PAC ID | 1850829938 |
|---|---|
| Medicare Enrollment ID | O20250117000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730854902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Cary Allen Corley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447925607 PECOS PAC ID: 3678001757 Enrollment ID: I20250117000357 |
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