# LIFE DOCTOR PSYCHOLOGICAL AND EDUCATIONAL SERVICES LLC

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

## Provider details

- **NPI number:** 1861353849
- **Authorized official:** KEVIN FALL PHD (OWNER)
- **Authorized official phone:** (913) 284-4242

## Contact information

- **Practice address:** 17646 S ROUNDTREE DR, OLATHE, KS 66062-8216
- **Practice address phone:** (913) 284-4242
- **Mailing address:** 17646 S ROUNDTREE DR, OLATHE, KS 66062-8216
- **Mailing address phone:** (913) 284-4242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 01/17/2026