| Successful Edge, Llc. | |
|
6301 Rockhill Rd Kansas City MO 64131-1124 | |
| (816) 807-6605 | |
| Not Available |
| Full Name | Successful Edge, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 6301 Rockhill Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Stanley Arnold Archie (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8168076605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Successful Edge, Llc. 6013 Woodland Ave Kansas City MO 64110-3555 Ph: (816) 807-6605 | Successful Edge, Llc. 6301 Rockhill Rd Kansas City MO 64131-1124 Ph: (816) 807-6605 |
| NPI Number | 1053711317 |
|---|---|
| Provider Enumeration Date | 08/23/2014 |
| Last Update Date | 08/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053711317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2012037387 (Missouri) | Primary |
| 251S00000X | Community/behavioral Health | 2012037387 (Missouri) | Secondary |
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