Deann L. Back | Liberty, MO • PECOS Search

Deann L. Back

Counselor

Behavioral Health & Social Service Providers

17 E Kansas St Ste 200, Liberty, MO 64068-2372

(816) 287-3816 (816) 255-6576

PECOS Enrollment

Based on the most recent information from CMS, provider Deann L. Back does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326858762
Provider Type
Individual
Full Name
Back, Deann L.
Credential
PLPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/8/2025
Last Updated
1/8/2025

Contact Information

Practice Location

17 E Kansas St Ste 200, Liberty, MO 64068-2372

Unlisted Fax

Mailing Location

1301 NE 102nd St, Kansas City, MO 64155-5001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2022040460 Missouri