OrganizationActive
Accomplishkc
NPI 1255815874 · Mental Health Counselor · Prairie Village, KS
Provider details
- NPI number
- 1255815874
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Etienne Clatanoff, Clinical Consultant 1(913) 302-1773
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Practice location
2108 W 75th St Ste D
Prairie Village, KS 66208-3504
Phone: (913) 543-1707
Approximate (ZIP-level) locationGet directions
Mailing address
4517 W 75th St
Prairie Village, KS 66208-4378
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2018-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.