# COUNSELING ASSOCIATES OF OVERLAND PARK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043378847
- **Authorized official:** LARRY WILLIAM TYNDALL PHD (MANAGING MEMBER)
- **Authorized official phone:** (913) 499-4300

## Contact information

- **Practice address:** 12701 METCALF AVE STE 204, OVERLAND PARK, KS 66213-2854
- **Practice address phone:** (913) 499-4300
- **Mailing address:** 15450 IRON HORSE CIR, LEAWOOD, KS 66224-3852
- **Mailing address phone:** (913) 499-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 03/17/2024