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Organization
LIFE COUNSELING AND PLAY THERAPY, LLC
Active
Organization
LIFE COUNSELING AND PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA MCDERMOTT LSCSW (OWNER)
(620) 446-0056
Entity
Organization
Contact information
Practice address
103 E 9TH AVE STE 202, WINFIELD, KS 67156-2815
(620) 402-6988
Mailing address
103 E 9TH AVE STE 202, WINFIELD, KS 67156-2815
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3984
KS
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3984
KS
Other
Enumeration date
06/08/2015
Last updated
07/21/2015
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