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Organization

PRAIRIE FIRE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEAH B MATHESON NCMHC, NCC, LCPC (CLINICAL DIRECTOR/OWNER)
(913) 522-0961
Entity
Organization

Contact information

Practice address
5251 W 116TH PL STE 209, LEAWOOD, KS 66211-7820
(913) 522-0961
Mailing address
5401 COLLEGE BLVD STE 111, LEAWOOD, KS 66211-1626
(816) 588-1704
(816) 817-0834

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2232
KS

Other

Enumeration date
04/02/2018
Last updated
11/03/2023
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