Provider Demographics
NPI:1023881844
Name:NORTHLAND CONNECTIONS, INC
Entity type:Organization
Organization Name:NORTHLAND CONNECTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:JANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSSA
Authorized Official - Phone:816-800-1108
Mailing Address - Street 1:6324 N CHATHAM AVE # 272
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2473
Mailing Address - Country:US
Mailing Address - Phone:816-800-1108
Mailing Address - Fax:
Practice Address - Street 1:7110 N STATE ROUTE 9
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64152-2930
Practice Address - Country:US
Practice Address - Phone:816-800-1108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty