Provider Demographics
NPI:1053132464
Name:AUDACITY BUSINESS SOLUTIONS LLC
Entity type:Organization
Organization Name:AUDACITY BUSINESS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:BURNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:913-544-6106
Mailing Address - Street 1:804 N MEADOWBROOK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5501
Mailing Address - Country:US
Mailing Address - Phone:762-338-1275
Mailing Address - Fax:
Practice Address - Street 1:804 N MEADOWBROOK DR STE 110
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5501
Practice Address - Country:US
Practice Address - Phone:762-338-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center