Gray Horse Mental Wellness LLC
Counselor, Mental Health in Kansas City, KS. Organization (NPI-2).
NPI number1508330101
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1508330101
- Entity type
- Organization (NPI-2)
- Legal business name
- Gray Horse Mental Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3500 N 99th StKansas City, KS 66109
Phone 913-638-1246
Mailing address
4917 Woodstock StShawnee, KS 66218-9141
Phone 913-638-1246
Authorized official
Mandy Aycock
Owner, Practitioner
9136381246
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