Organization
MIND-BODY TRAUMA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MOFFITT (THERAPIST/OWNER)
(913) 424-6239
Entity
Organization
Contact information
Practice address
793 E 1055TH RD, BALDWIN CITY, KS 66006-7287
(913) 424-6230
Mailing address
793 E 1055TH RD, BALDWIN CITY, KS 66006-7287
(913) 424-6230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/07/2024
Last updated
02/19/2025
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