Organization
LIFE COUNSELING AND PLAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA MCDERMOTT LSCSW (OWNER)
(620) 446-0056
Entity
Organization
Contact information
Practice address
103 E 9TH AVE STE 202, WINFIELD, KS 67156-2815
(620) 402-6988
Mailing address
103 E 9TH AVE STE 202, WINFIELD, KS 67156-2815
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3984
KS
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3984
KS
Other
Enumeration date
06/08/2015
Last updated
07/21/2015
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