| Open Hands Counseling, Llc | |
|
4121 Spruce Ave Kansas City MO 64130-1553 | |
| (816) 255-5562 | |
| Not Available |
| Full Name | Open Hands Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4121 Spruce Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Sinora Levette Shaw (OWNER) |
| Authorized Official Contact | 8162555562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Hands Counseling, Llc 4121 Spruce Ave Kansas City MO 64130-1553 Ph: (816) 255-5562 | Open Hands Counseling, Llc 4121 Spruce Ave Kansas City MO 64130-1553 Ph: (816) 255-5562 |
| NPI Number | 1396317616 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 8628474103 |
|---|---|
| Medicare Enrollment ID | O20210908003361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396317616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sinora Levette Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760605638 PECOS PAC ID: 3870669559 Enrollment ID: I20080903000433 |
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