| Avenue Of Life | |
|
500 North 7th Street Trafficway Kansas City KS 66101 | |
| (816) 787-6101 | |
| Not Available |
| Full Name | Avenue Of Life |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 500 North 7th Street Trafficway, Kansas City, Kansas |
| Authorized Official Name and Position | Desiree Monize (CEO) |
| Authorized Official Contact | 8165198419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Of Life Po Box 34495 Kansas City MO 64116-0895 Ph: (913) 787-6101 | Avenue Of Life 500 North 7th Street Trafficway Kansas City KS 66101 Ph: (816) 787-6101 |
| NPI Number | 1790543619 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790543619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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