Provider Demographics
NPI:1760206205
Name:TRAILHEAD COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:TRAILHEAD COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIFERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-875-0072
Mailing Address - Street 1:9393 W 110TH ST STE 532
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1442
Mailing Address - Country:US
Mailing Address - Phone:816-875-0072
Mailing Address - Fax:
Practice Address - Street 1:9393 W 110TH ST STE 532
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1442
Practice Address - Country:US
Practice Address - Phone:816-875-0072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty