| Good Life Counseling | |
|
3000 Ne Brooktree Ln Ste 230 Kansas City MO 64119-1890 | |
| (816) 708-1620 | |
| Not Available |
| Full Name | Good Life Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3000 Ne Brooktree Ln Ste 230, Kansas City, Missouri |
| Authorized Official Name and Position | Kim Thomas (OFFICE MANAGER) |
| Authorized Official Contact | 8167081620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Life Counseling 3000 Ne Brooktree Ln Ste 230 Kansas City MO 64119-1890 Ph: (816) 708-1620 | Good Life Counseling 3000 Ne Brooktree Ln Ste 230 Kansas City MO 64119-1890 Ph: (816) 708-1620 |
| NPI Number | 1568095354 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Medicare PECOS PAC ID | 6204267685 |
|---|---|
| Medicare Enrollment ID | O20200519002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568095354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffry S Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396781951 PECOS PAC ID: 8123258803 Enrollment ID: I20140225000284 |
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