Provider Demographics
NPI:1538207246
Name:NATURALLY YOURS INC
Entity type:Organization
Organization Name:NATURALLY YOURS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ART THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS ATR
Authorized Official - Phone:816-694-8850
Mailing Address - Street 1:1877 CLAY WOODS PKWY
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-8468
Mailing Address - Country:US
Mailing Address - Phone:816-694-8850
Mailing Address - Fax:816-407-7104
Practice Address - Street 1:1877 CLAY WOODS PKWY
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-8468
Practice Address - Country:US
Practice Address - Phone:816-694-8850
Practice Address - Fax:816-407-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99-200221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1804801-3OtherMISSOURI TAX NUMBER