# COUNSELING & THERAPEUTIC SERVICES OF JOHNSON CO LLC

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

## Provider details

- **NPI number:** 1083395057
- **Authorized official:** LARA WISDOM LCPC (OWNER)
- **Authorized official phone:** (913) 963-9990

## Contact information

- **Practice address:** 11900 W 87TH STREET PKWY STE 130, LENEXA, KS 66215-4517
- **Practice address phone:** (913) 963-9990
- **Practice address fax:** (816) 227-6931
- **Mailing address:** 8818 GOLDEN LN, DE SOTO, KS 66018-7501
- **Mailing address phone:** (913) 963-9990
- **Mailing address fax:** (816) 227-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 07/31/2023