| Attachment And Trauma Therapy Llc | |
|
222 W Gregory Blvd Ste 120 Kansas City MO 64114 | |
| (816) 607-1775 | |
| (816) 379-3748 |
| Full Name | Attachment And Trauma Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 W Gregory Blvd Ste 120, Kansas City, Missouri |
| Authorized Official Name and Position | Lebeka Shin (OWNER) |
| Authorized Official Contact | 8166071775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Attachment And Trauma Therapy Llc 222 W Gregory Blvd Ste 120 Kansas City MO 64114-1145 Ph: (816) 607-1775 | Attachment And Trauma Therapy Llc 222 W Gregory Blvd Ste 120 Kansas City MO 64114 Ph: (816) 607-1775 |
| NPI Number | 1720592330 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720592330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2016032363 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 9707 (Kansas) | Secondary |
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