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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARA M WISDOM

Active Sole Proprietor

LARA M WISDOM is a Mental Health Counselor healthcare provider located in LENEXA, Kansas. NPI 1184250979 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LENEXA, KS

Registration Details

NPI Number
1184250979
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2020 (6.3818253747145 yrs)
Last Updated
Apr 9, 2024
Licenses
2020037121 (MO)
3527 (KS)
Sole Proprietor
Yes

Practice Information

Address
11900 W 87TH STREET PKWY STE 130
LENEXA, KS, 662154517
Browse KS providers · Browse ZIP 66215
Phone
6155713982
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LENEXA, KS

Name Credential NPI
DEBRA NEAL 1790011278
MRS. GRETCHEN ELIZABETH GIBSON 1992011076
FRIDA KAMETI 1386054401
MRS. JESSICA BOHM LPC 1366851545
MELISSA MAZUR LPC 1508265950
KIMBERLY KOSMALA LCP 1093196669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.