# THALIA HOUSE KC, INC

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

## Provider details

- **NPI number:** 1124372479
- **Authorized official:** GINA M. BEHM LPC (PROGRAM DIRECTOR)
- **Authorized official phone:** (888) 913-1428

## Contact information

- **Practice address:** 9811 LEE CIRCLE, LEAWOOD, KS 66206
- **Practice address phone:** (888) 913-1428
- **Practice address fax:** (913) 548-0699
- **Mailing address:** 9811 LEE CIRCLE, LEAWOOD, KS 66206
- **Mailing address phone:** (888) 913-1428
- **Mailing address fax:** (913) 548-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 01/07/2019