Healthcare Provider Details

I. General information

NPI: 1689596116
Provider Name (Legal Business Name): MOMENTS NOW THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 N COLLEGE PARK ST STE 700
DERBY KS
67037-3666
US

IV. Provider business mailing address

1121 N COLLEGE PARK ST STE 700
DERBY KS
67037-3666
US

V. Phone/Fax

Practice location:
  • Phone: 316-847-9117
  • Fax:
Mailing address:
  • Phone: 316-847-9117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CANDACE HANSEN
Title or Position: THERAPIST
Credential: LSCSW
Phone: 316-847-9117