| Traci Smith Lpc | |
|
11319 N Holly St Kansas City MO 64155-3555 | |
| (816) 922-0202 | |
| (816) 479-2903 |
| Full Name | Traci Smith Lpc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11319 N Holly St, Kansas City, Missouri |
| Authorized Official Name and Position | Traci Smith (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8169220202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Smith Lpc 11319 N Holly St Kansas City MO 64155-3555 Ph: (816) 922-0202 | Traci Smith Lpc 11319 N Holly St Kansas City MO 64155-3555 Ph: (816) 922-0202 |
| NPI Number | 1033962881 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033962881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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