Provider Demographics
NPI:1952194672
Name:CHANEY, TINA L (LPC)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:L
Last Name:CHANEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:L
Other - Last Name:CHANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD
Mailing Address - Street 1:712 SW SCHERER RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-1917
Mailing Address - Country:US
Mailing Address - Phone:816-572-7723
Mailing Address - Fax:
Practice Address - Street 1:712 SW SCHERER RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-1917
Practice Address - Country:US
Practice Address - Phone:816-572-7723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013004020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health