Provider Demographics
NPI:1245114248
Name:SILVY, ABIGAYLE L (MAADC II)
Entity type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:L
Last Name:SILVY
Suffix:
Gender:F
Credentials:MAADC II
Other - Prefix:
Other - First Name:ABIGAYLE
Other - Middle Name:L
Other - Last Name:LYKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAADC II
Mailing Address - Street 1:2400 FREDERICK AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2761
Mailing Address - Country:US
Mailing Address - Phone:816-271-6980
Mailing Address - Fax:816-232-5354
Practice Address - Street 1:2400 FREDERICK AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2761
Practice Address - Country:US
Practice Address - Phone:816-232-5354
Practice Address - Fax:816-232-5354
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20036101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)