Healthcare Provider Details

I. General information

NPI: 1043639438
Provider Name (Legal Business Name): CARLIN ROCHELLE BUHRMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W RANDALL ST
HESSTON KS
67062-9157
US

IV. Provider business mailing address

610 W RANDALL ST
HESSTON KS
67062-9157
US

V. Phone/Fax

Practice location:
  • Phone: 316-882-8834
  • Fax:
Mailing address:
  • Phone: 316-882-8834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2466
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: