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Organization
STAGES OF THERAPY LLC
Active
Organization
STAGES OF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SHADDIX-OLSEN LCPC (OWNER/THERAPIST)
(913) 284-2399
Entity
Organization
Contact information
Practice address
8645 COLLEGE BLVD STE 125, OVERLAND PARK, KS 66210-2034
(913) 284-2399
Mailing address
11002 W 57TH TER, SHAWNEE, KS 66203-2812
(913) 284-2399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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