Healthcare Provider Details

I. General information

NPI: 1730203811
Provider Name (Legal Business Name): THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date: 06/06/2008
Reactivation Date: 08/19/2008

III. Provider practice location address

420 KENNEDY ST
BURLINGTON KS
66839-1120
US

IV. Provider business mailing address

420 KENNEDY ST
BURLINGTON KS
66839-1120
US

V. Phone/Fax

Practice location:
  • Phone: 620-364-2606
  • Fax:
Mailing address:
  • Phone: 620-364-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number06180761
License Number StateKS

VIII. Authorized Official

Name: GAYLE M TAYLOR-FORD
Title or Position: EXECUTIVE DIRECTOR / OWNER
Credential: LSCSW, LCAC
Phone: 620-364-2606