# MINT FAMILY THERAPY LLC

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

## Provider details

- **NPI number:** 1861101180
- **Authorized official:** KEVIN BRUCE SMITH LMFT (OWNER)
- **Authorized official phone:** (816) 812-5380

## Contact information

- **Practice address:** 12240 W 135TH ST, OVERLAND PARK, KS 66221-9391
- **Practice address phone:** (816) 812-5380
- **Mailing address:** 12240 W 135TH ST, OVERLAND PARK, KS 66221-9391
- **Mailing address phone:** (816) 812-5380

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/15/2022
