| Counseling & Therapeutic Services Of Johnson Co Llc | |
|
11900 W 87th Street Pkwy Ste 130 Lenexa KS 66215-4517 | |
| (913) 963-9990 | |
| (816) 227-6931 |
| Full Name | Counseling & Therapeutic Services Of Johnson Co Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11900 W 87th Street Pkwy Ste 130, Lenexa, Kansas |
| Authorized Official Name and Position | Lara Wisdom (OWNER) |
| Authorized Official Contact | 9139639990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Therapeutic Services Of Johnson Co Llc 8818 Golden Ln De Soto KS 66018-7501 Ph: (913) 963-9990 | Counseling & Therapeutic Services Of Johnson Co Llc 11900 W 87th Street Pkwy Ste 130 Lenexa KS 66215-4517 Ph: (913) 963-9990 |
| NPI Number | 1083395057 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083395057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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