| Memoir Counseling, Llc | |
|
4731 S Cochise Dr Ste 206 Independence MO 64055-6975 | |
| (816) 373-6433 | |
| Not Available |
| Full Name | Memoir Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4731 S Cochise Dr Ste 206, Independence, Missouri |
| Authorized Official Name and Position | Margaux Kervin (PROVIDER) |
| Authorized Official Contact | 8168660334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memoir Counseling, Llc 2906 Ne Russell Rd Kansas City MO 64117-2167 Ph: (913) 645-5733 | Memoir Counseling, Llc 4731 S Cochise Dr Ste 206 Independence MO 64055-6975 Ph: (816) 373-6433 |
| NPI Number | 1578192308 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/03/2020 |
| Certification Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578192308 | NPI | - | NPPES |
| 1194244541 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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