# COZY REFUGE LLC

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

## Provider details

- **NPI number:** 1356042188
- **Authorized official:** PHARASA PAULINA THANASITH LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (316) 789-3205

## Contact information

- **Practice address:** 914 E DOUGLAS AVE STE 209, WICHITA, KS 67202-3552
- **Practice address phone:** (316) 227-7003
- **Mailing address:** 914 E DOUGLAS AVE STE 209, WICHITA, KS 67202-3552
- **Mailing address phone:** (316) 227-7003

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 05/23/2024