Healthcare Provider Details

I. General information

NPI: 1508935313
Provider Name (Legal Business Name): NURTURING FAMILIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S 4TH ST SUITE C
LEAVENWORTH KS
66048-5012
US

IV. Provider business mailing address

PO BOX 188
LEAVENWORTH KS
66048-0188
US

V. Phone/Fax

Practice location:
  • Phone: 913-651-1000
  • Fax: 913-651-1000
Mailing address:
  • Phone: 913-684-1444
  • Fax: 913-684-1443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN M. O'BRIEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 913-684-1444