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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
6240 W 135TH ST STE 200, OVERLAND PARK, KS 66223-4849
(816) 588-1704
(816) 817-0834
Mailing address
6240 W 135TH ST STE 200, OVERLAND PARK, KS 66223-4849
(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
06/02/2026
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