| Lilac Center Llc | |
|
1029 Pennsylvania Ave Kansas City MO 64105-1334 | |
| (816) 221-0305 | |
| (816) 221-9121 |
| Full Name | Lilac Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1029 Pennsylvania Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Amy Tibbitts (DIRECTOR) |
| Authorized Official Contact | 8162210305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Center Llc 1029 Pennsylvania Ave Kansas City MO 64105-1334 Ph: (816) 221-0305 | Lilac Center Llc 1029 Pennsylvania Ave Kansas City MO 64105-1334 Ph: (816) 221-0305 |
| NPI Number | 1861806127 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861806127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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