Provider Demographics
NPI:1386364099
Name:BECKER, ANITA (MSFT, T-LMFT)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:MSFT, T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 N WHITETAIL WAY
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-8742
Mailing Address - Country:US
Mailing Address - Phone:816-223-3922
Mailing Address - Fax:
Practice Address - Street 1:8700 MONROVIA ST STE 310
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3500
Practice Address - Country:US
Practice Address - Phone:816-207-5785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03412-T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist