Provider Demographics
NPI:1558256875
Name:HOUGH-FLORYANCIC, KENDRA GAIL (LMSW)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:GAIL
Last Name:HOUGH-FLORYANCIC
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 ITALIAN WAY
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64024-8016
Mailing Address - Country:US
Mailing Address - Phone:816-372-4900
Mailing Address - Fax:
Practice Address - Street 1:1087 ITALIAN WAY
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-8016
Practice Address - Country:US
Practice Address - Phone:816-372-4900
Practice Address - Fax:816-372-4900
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024042711104100000X
MO20250163551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker