TAILORED LIFE TRANSITIONS, LLC (NPI# 1174977268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174977268 |
| Entity Type | Organization |
| Organization Name | TAILORED LIFE TRANSITIONS, LLC |
| Other Organization Name | TAILORED LIFE |
| Practice Address |
32 Westwoods Dr Liberty MO 64068-3519 |
| Mailing Address |
11428 N Ditzler Ave Kansas City MO 64157-8218 |
| Practice Telephone | 8164251734 |
| Mailing Telephone | 3192171375 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | LASHARON TAYLOR (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 3192171375 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
079016 | IA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Tailored Life | Other Name - Individual/Organization |
| Street Address |
32 WESTWOODS DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548422678 | Liberty Psychological Services, L.L.C. | Community/Behavioral Health | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2008-06-30 |
| 1649751967 | Caitlin Jordan | Counselor | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2018-08-24 |
| 1114393394 | Robert R. Cox | Counselor | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2015-08-11 |
| 1043580731 | Becky Franklin | Counselor | 32 Westwoods Dr, Liberty, MO 64068-3519 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605229 | Lori L Streu | Counselor | 888 Haines Ste 114, Liberty, MO 64068-1008 | 2019-08-26 |
| 1801335849 | Teresa Shofner | Counselor | 330 Hopewell Spur Rd, Liberty, KY 42539-6581 | 2017-02-22 |
| 1588018626 | Gregg Modell | Counselor | 366 Wade Rd, Liberty, NY 12754-2825 | 2016-04-14 |
| 1346663416 | Jesseca Kate Berryman | Counselor | 112 Westwoods Dr, Liberty, MO 64068-1181 | 2014-01-27 |
| 1649453663 | Northland Psychological Associates LLC | Counselor | 9 Victory Dr Ste 3, Liberty, MO 64068-3807 | 2007-12-13 |
| 1346438421 | Latisha Collins | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2007-10-15 |
| 1245430578 | Jeanneen Joy Morris | Counselor | 2 North Main St, Suite F, Liberty, MO 64068-1638 | 2007-07-24 |
| 1447267828 | Lori A. Wheelhouse | Counselor | 1812 Middlemarch Ter, Liberty, MO 64068-2961 | 2006-08-01 |
| 1740889682 | Dana Combs | Counselor | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-21 |
| 1225643091 | Gloria Jean Greynolds | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2020-09-09 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.