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Organization

SLPH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA LYNN BURRILL (DIRECTOR OF REVENUE CYCLE)
(309) 373-5753
Entity
Organization

Contact information

Practice address
400 N ROCK HILL RD, WEBSTER GROVES, MO 63119-1521
(913) 322-4900
(913) 780-1284
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 780-1284

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
283Q00000X
Psychiatric Hospital
Primary
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
04/24/2025
Last updated
10/10/2025
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