# SIMPLY AUTHENTIC THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Authentic Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164245718
- **Authorized official:** SHAWNA KAY LATIMER LCMFT (OWNER)
- **Authorized official phone:** (316) 617-0065

## Contact information

- **Practice address:** 250 N ROCK RD STE 270, WICHITA, KS 67206-2265
- **Practice address phone:** (316) 617-0065
- **Mailing address:** 250 N ROCK RD STE 270, WICHITA, KS 67206-2265
- **Mailing address phone:** (316) 617-0065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/04/2024