Organization
LET'S TALK THERAPY AND SUPERVISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA NICHOLE HOLOUBEK LSCSW, RPT (OWNER/PROVIDER)
(316) 691-7201
Entity
Organization
Contact information
Practice address
2458 W NEWELL ST, WICHITA, KS 67203-5108
(316) 691-7201
(316) 847-7082
Mailing address
2458 W NEWELL ST, WICHITA, KS 67203-5108
(316) 691-7201
(316) 847-7082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200438180H
—
KS
01
—
S1787
REGISTERED PLAY THERAPIST-SUPERVISOR
—
Enumeration date
07/07/2015
Last updated
10/28/2022
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