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MEMOIR COUNSELING LLC NPI 1578192308


NPI Information

NPI: 1578192308
Provider Name: MEMOIR COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4731 S COCHISE DR STE 206
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 373-6433
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MEMOIR COUNSELING, LLC is a mental health (including community mental health center) clinic center in Independence, MO. MEMOIR COUNSELING, LLC NPI is 1578192308. The provider is registered as an organization entity type.

The provider's business location address is:

4731 S COCHISE DR STE 206
INDEPENDENCE, MO
ZIP 64055-975
Phone: (816) 373-6433

The provider's authorized official is Margaux Kervin .
The authorized official title is Provider and has the following contact phone number (816) 866-0334.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194244541MEDICAIDMISSOURI

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

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