Cooley Bennett, Teresa Anne

Cooley Bennett, Teresa Anne is an individual health care provider with primary practice located at 3801 Dr Martin Luther King Jr Blvd , Kansas City MO 64130-2807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooley Bennett, Teresa Anne can be contacted via phone (816) 599-5638.

Contact Information

Primary practice address
3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807
Phone: (816) 599-5638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSCSW 3852 Kansas
Other Service Providers / Specialist 174400000X 5526 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2000164407 Missouri

Profile Details

NPI number 1669509832
LBN Legal business name Cooley Bennett, Teresa Anne
Credentials LCSW, LSCSW, CCDP-D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669509832 NPPES
Missouri MEDICAID 495372203
Missouri Other 000C334
Missouri MEDICAID 200579670A

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