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Northland Complete Counseling Llc

Counselor

Behavioral Health & Social Service Providers

1524 NE 96th St Ste C, Liberty, MO 64068-1380

PECOS Enrollment

Based on the most recent information from CMS, provider Northland Complete Counseling Llc 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
1821648205
Provider Type
Organization
Full Name
Northland Complete Counseling Llc

Subpart
No
Enumeration Date
9/17/2019
Last Updated
9/17/2019

Contact Information

Practice Location

1524 NE 96th St Ste C, Liberty, MO 64068-1380

(816) 379-3007

(816) 379-3745

Mailing Location

301 Concord Cir, Grain Valley, MO 64029-9719

(816) 379-3022

(816) 379-3745

Authorized Official

Davis, Jordan (Office Manager)

(816) 379-3022

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Northland Complete Counseling Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Cress, Tamara Lynn

Baker, Joyce K.

Rojas, Nicole

Cress, Joshua

Ampersand Counseling & Consulting Llc

Roberts, Laci Nicole

Coakley, Crystal

Crookston, David M

Soleymani-Alizadeh, Lisa Marie

King, Terra