Provider / Organization | NPI | Date Certified |
---|---|---|
SAVANNAH POUTCH | 1619532587 | 2019-05-07 |
Savannah Poutch is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619532587. Registration indicates Savannah Poutch is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Savannah Poutch LCSW |
Practice Office Address | 6440 NIEMAN RD SHAWNEE, KS US |
Practice Office Telephone | 9138264200 |
Mailing Address | 3100 NE 83RD ST STE 1001 KANSAS CITY, MO 641194460 US |
Business Telephone | 8169651024 |
Address | City / State | Phone / Fax |
---|---|---|
2600 E 12th St | Kansas City, MO 641271321 | 1696511008 |
3100 NE 83rd St Ste 1001 | Kansas City, MO 641194460 | 8169651024 |
Code | Practice | License No State |
---|---|---|
1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 2021012979
MO |
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 05531
KS |