Organization
THE MIND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOSPETER OTIENO (ORGANIZER)
(913) 227-9605
Entity
Organization
Contact information
Practice address
8101 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-2671
(913) 227-9605
Mailing address
8101 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210-2671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
07/18/2023
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