NPI 1053711317

Successful Edge, LLC.

Organisation Counselor Kansas City, MO

Practice location

Address: 6301 Rockhill Rd, Kansas City, MO 64131-1124
Phone: (816) 807-6605
Mailing address: 6013 Woodland Ave, Kansas City, MO 64110-3555

Authorised official

Name: Stanley Arnold Archie
Title: License Professional Counselor
Phone: (816) 807-6605

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 2012037387 (MO)

Other Counselor providers in Missouri →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 2012037387 (MO)

Other Community/Behavioral Health providers in Missouri →

Registry record

NPI: 1053711317
Entity type: Organization
NPI issued: 23 Aug 2014
Record last updated: 23 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.