Organization
COZY REFUGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHARASA PAULINA THANASITH LMFT (MARRIAGE AND FAMILY THERAPIST)
(316) 789-3205
Entity
Organization
Contact information
Practice address
914 E DOUGLAS AVE STE 209, WICHITA, KS 67202-3552
(316) 227-7003
Mailing address
914 E DOUGLAS AVE STE 209, WICHITA, KS 67202-3552
(316) 227-7003
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
05/23/2024
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