Organization
COUNSELING AVENUES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE STROUP (OWNER/THERAPIST)
(316) 250-0970
Entity
Organization
Contact information
Practice address
330 E MADISON AVE STE 207, DERBY, KS 67037-1736
(316) 206-3111
(316) 252-1336
Mailing address
2800 N FOREST PARK ST, DERBY, KS 67037-7912
(316) 250-0970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C201151460
—
KS
Enumeration date
01/28/2022
Last updated
01/28/2022
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