Healthcare Provider Details

I. General information

NPI: 1821913179
Provider Name (Legal Business Name): CARESSA MARIE OSBORN LMFT-TL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 RANSER RD
MANHATTAN KS
66502-2617
US

IV. Provider business mailing address

1737 RANSER RD
MANHATTAN KS
66502-2617
US

V. Phone/Fax

Practice location:
  • Phone: 785-340-2530
  • Fax: 785-340-2530
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT03869T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: