Organization
LITTLE STARS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCLAIN LMLP (EXECUTIVE DIRECTOR)
(785) 534-9808
Entity
Organization
Contact information
Practice address
709 BROOKSIDE PL, COLWICH, KS 67030-9683
(785) 534-9808
Mailing address
709 BROOKSIDE PL, COLWICH, KS 67030-9683
(785) 534-9808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMLP1199
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275794711
—
KS
Enumeration date
07/20/2018
Last updated
07/20/2018
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