Organization
TAG TREATMENT CENTER LLC
Active
Other names
Therapeutic Alliance Group, Therapeutic Alliance Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LIZA SCULLY-SKINNER LCMFT, LCAC (CEO)
(316) 409-0565
Entity
Organization
Contact information
Practice address
515 N RIDGE RD STE 200, WICHITA, KS 67212-6389
(316) 409-0565
(855) 915-0285
Mailing address
PO BOX 313, AUGUSTA, KS 67010-0313
(316) 409-0565
(855) 915-0285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/31/2018
Last updated
12/09/2025
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