| Tailored Life | |
|
32 Westwoods Dr Liberty MO 64068-3519 | |
| (816) 425-1734 | |
| Not Available |
| Full Name | Tailored Life |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 32 Westwoods Dr, Liberty, Missouri |
| Authorized Official Name and Position | Lasharon Taylor (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3192171375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tailored Life 11428 N Ditzler Ave Kansas City MO 64157-8218 Ph: (319) 217-1375 | Tailored Life 32 Westwoods Dr Liberty MO 64068-3519 Ph: (816) 425-1734 |
| NPI Number | 1174977268 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174977268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 079016 (Iowa) | Primary |
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