| Mint Family Therapy Llc | |
|
12240 W 135th St Overland Park KS 66221-9391 | |
| (816) 812-5380 | |
| Not Available |
| Full Name | Mint Family Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12240 W 135th St, Overland Park, Kansas |
| Authorized Official Name and Position | Kevin Bruce Smith (OWNER) |
| Authorized Official Contact | 8168125380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Family Therapy Llc 12240 W 135th St Overland Park KS 66221-9391 Ph: (816) 812-5380 | Mint Family Therapy Llc 12240 W 135th St Overland Park KS 66221-9391 Ph: (816) 812-5380 |
| NPI Number | 1861101180 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861101180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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