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Organization
SIMPLY AUTHENTIC THERAPY, LLC
Active
Organization
SIMPLY AUTHENTIC THERAPY, LLC
Active
Other names
Simply Authentic Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA KAY LATIMER LCMFT (OWNER)
(316) 617-0065
Entity
Organization
Contact information
Practice address
250 N ROCK RD STE 270, WICHITA, KS 67206-2265
(316) 617-0065
Mailing address
250 N ROCK RD STE 270, WICHITA, KS 67206-2265
(316) 617-0065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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