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Organization
TAG TREATMENT CENTER LLC
Active
Organization
TAG TREATMENT CENTER LLC
Active
Other names
Therapeutic Alliance Group, Therapeutic Alliance Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LIZA SCULLY-SKINNER LCMFT, LCAC (CEO)
(316) 409-0565
Entity
Organization
Contact information
Practice address
515 N RIDGE RD STE 200, WICHITA, KS 67212-6389
(316) 409-0565
(855) 915-0285
Mailing address
PO BOX 313, AUGUSTA, KS 67010-0313
(316) 409-0565
(855) 915-0285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
NULL
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/31/2018
Last updated
12/09/2025
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