Lilac Center Llc
LBN: Lilac Center Llc
Lilac Center Llc is an health care organization with primary practice located at 2029 Buchanan St , Kansas City MO 64116-3405. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Lilac Center Llc can be contacted via phone (816) 221-0305, or through Tibbitts, Amy M via phone (816) 221-0305.
Contact Information
Primary practice address
2029 Buchanan St
Kansas City MO 64116-3405
Phone: (816) 221-0305
Fax: (816) 221-9121
Website:
Authorized official contact:
Name: Tibbitts, Amy M Licensed Clinical Social Worker (LCSW)
Phone: (816) 221-0305
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2000174524 | Missouri |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1477877223 |
|---|---|
| LBN Legal business name | Lilac Center Llc |
| DBA Doing business as | |
| Authorized official | Tibbitts, Amy M Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Jan 29th, 2024 - about 11 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477877223 | NPPES |
| Kansas | MEDICAID | 201354450A | |
| Kansas | MEDICAID | 830117171 |
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