Organization
TERASPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERMAINE C HALL LMSW, CCTP (OWNER, THERAPIST)
(316) 775-1415
Entity
Organization
Contact information
Practice address
306 N ROCK RD STE 30, WICHITA, KS 67206-2256
(316) 775-1415
Mailing address
306 N ROCK RD STE 30, WICHITA, KS 67206-2256
(316) 775-1415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447884143
INDIVIDUAL NPI
—
05
—
201288580A
—
KS
Enumeration date
09/29/2020
Last updated
04/25/2024
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