Provider Demographics
NPI:1730227273
Name:BARNDS, LARSEN K JR (LCMFT)
Entity type:Individual
Prefix:MR
First Name:LARSEN
Middle Name:K
Last Name:BARNDS
Suffix:JR
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 STATE LINE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3710
Mailing Address - Country:US
Mailing Address - Phone:816-346-5133
Mailing Address - Fax:
Practice Address - Street 1:8014 STATE LINE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3710
Practice Address - Country:US
Practice Address - Phone:816-346-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSMFT 312106H00000X
MO2004019045106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist