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Organization
KMG PLAY THERAPY, LLC
Active
Organization
KMG PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALLIE GETTINGER LSCSW, RPT-S (OWNER/CHILD THERAPIST)
(913) 735-9291
Entity
Organization
Contact information
Practice address
15064 ANTIOCH RD, OVERLAND PARK, KS 66221-8502
(913) 735-9291
Mailing address
9306 W 146TH PL, OVERLAND PARK, KS 66221-2258
(913) 735-9291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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