LILAC CENTER LLC NPI 1477877223

NPI Information

NPI: 1477877223
Provider Name: LILAC CENTER LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2029 BUCHANAN ST
KANSAS CITY, MO
ZIP 64116
Phone: (816) 221-0305
Get Directions

LILAC CENTER LLC is an adult mental health clinic center in Kansas City, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LILAC CENTER LLC NPI is 1477877223. The provider is registered as an organization entity type.

The provider's business location address is:

2029 BUCHANAN ST
KANSAS CITY, MO
ZIP 64116-405
Phone: (816) 221-0305
Fax: (816) 221-9121

The provider's authorized official is Amy M Tibbitts .
The authorized official title is Director and has the following contact phone number (816) 221-0305.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	101YM0800X	Counselor	Mental Health	2000174524	MISSOURI	No
3	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201354450A	MEDICAID	KANSAS
2	830117171	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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