| Responsive Mental Health Services Llc | |
|
136 E Walnut St Suite 107 Independence MO 64050-3990 | |
| (816) 214-0155 | |
| (816) 817-1019 |
| Full Name | Responsive Mental Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 136 E Walnut St, Independence, Missouri |
| Authorized Official Name and Position | Jennifer D. Liles (OWNER/CEO) |
| Authorized Official Contact | 8162140155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Responsive Mental Health Services Llc 136 E Walnut St Suite 107 Independence MO 64050-3990 Ph: (816) 214-0155 | Responsive Mental Health Services Llc 136 E Walnut St Suite 107 Independence MO 64050-3990 Ph: (816) 214-0155 |
| NPI Number | 1932571601 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 06/01/2016 |
| Medicare PECOS PAC ID | 5698076651 |
|---|---|
| Medicare Enrollment ID | O20151216000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932571601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2008001719 (Missouri) | Primary |
| Provider Name | Jennifer D Liles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750524492 PECOS PAC ID: 0042482028 Enrollment ID: I20111017000755 |
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