BREANNA M CLYNES LCSW NPI 1689246464

NPI Information

NPI: 1689246464
Provider Name: BREANNA M CLYNES, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
200 NE MISSOURI RD STE 307
LEES SUMMIT, MO
ZIP 64086
Phone: (816) 839-9427
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Breanna M Clynes, LCSW is a mental health counselor in Lees Summit, MO. Breanna M Clynes, LCSW NPI is 1689246464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 NE MISSOURI RD STE 307
LEES SUMMIT, MO
ZIP 64086-722
Phone: (816) 839-9427

The enumeration date for this NPI number is 7/12/2021 and was last updated on 4/9/2024.

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	1041C0700X	Social Worker	Clinical			No
2	101YM0800X	Counselor	Mental Health	202102-78	MISSOURI	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	06142021	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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