1992175483 NPI number — RESOLUTIONS COUNSELING AND PSYCHOTHERAPY LLC

Table of content: GEORGE NAGY YOUSSEF MD (NPI 1538124839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992175483 NPI number — RESOLUTIONS COUNSELING AND PSYCHOTHERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESOLUTIONS COUNSELING AND PSYCHOTHERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992175483
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5637 NW SUNRISE MEADOW CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEES SUMMIT
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64064-1262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
656 SE BAYBERRY LN
Provider Second Line Business Practice Location Address:
STE 105
Provider Business Practice Location Address City Name:
LEES SUMMIT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64063-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-832-4222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
PRICE
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
NICHOLE
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
913-915-5197

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  2009018435 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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