KARDIA PROJECT LLC NPI 1184292682

NPI Information

NPI: 1184292682
Provider Name: KARDIA PROJECT LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
414 REMINGTON PLAZA CT
RAYMORE, MO
ZIP 64083
Phone: (816) 547-1320
Get Directions

KARDIA PROJECT LLC is a mental health (including community mental health center) clinic center in Raymore, MO. KARDIA PROJECT LLC NPI is 1184292682. The provider is registered as an organization entity type.

The provider's business location address is:

414 REMINGTON PLAZA CT
RAYMORE, MO
ZIP 64083-599
Phone: (816) 547-1320

The provider's authorized official is Jessica Mathis .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (816) 547-1320.

The enumeration date for this NPI number is 6/12/2021 and was last updated on 6/12/2021.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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	490050852	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: 5/5/2024

NPI Synchronization or Removal

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