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Organization
MINT FAMILY THERAPY LLC
Active
Organization
MINT FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRUCE SMITH LMFT (OWNER)
(816) 812-5380
Entity
Organization
Contact information
Practice address
12240 W 135TH ST, OVERLAND PARK, KS 66221-9391
(816) 812-5380
Mailing address
12240 W 135TH ST, OVERLAND PARK, KS 66221-9391
(816) 812-5380
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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