Organization
TAILORED FAMILY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BRIDGET JENNER LCMFT (THERAPIST)
(913) 594-3504
Entity
Organization
Contact information
Practice address
209 S NORMANDY DR, OLATHE, KS 66061-3847
(913) 594-3504
Mailing address
209 S NORMANDY DR, OLATHE, KS 66061-3847
(913) 594-3504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517280A
—
KS
Enumeration date
02/10/2021
Last updated
02/10/2021
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