Organization
MINDFUL THERAPY KC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN OLSEN-MEEHAN LSCSW (OWNER / THERAPIST)
(913) 738-7922
Entity
Organization
Contact information
Practice address
6711 W 121ST ST, OVERLAND PARK, KS 66209-2003
(913) 738-7922
Mailing address
6801 W 121ST ST, OVERLAND PARK, KS 66209-2005
(913) 738-7922
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3756
BSRB LICENSE
KS
Enumeration date
07/02/2019
Last updated
10/22/2019
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