| Archetype Therapy LLC | |
|
3701 Ne 46th St Kansas City MO 64117-1229 | |
| (214) 543-8870 | |
| Not Available |
| Full Name | Archetype Therapy LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3701 Ne 46th St, Kansas City, Missouri |
| Authorized Official Name and Position | Dianna Christine Obermueller (OWNER) |
| Authorized Official Contact | 2145438870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archetype Therapy LLC 3701 Ne 46th St Kansas City MO 64117-1229 Ph: (214) 543-8870 | Archetype Therapy LLC 3701 Ne 46th St Kansas City MO 64117-1229 Ph: (214) 543-8870 |
| NPI Number | 1487558938 |
|---|---|
| Provider Enumeration Date | 10/07/2026 |
| Last Update Date | 10/07/2026 |
| Certification Date | 10/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487558938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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