Healthcare Provider Details

I. General information

NPI: 1912814922
Provider Name (Legal Business Name): SOPHIA ISABELLE MAYHUGH LMFT-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 POYNTZ AVE
MANHATTAN KS
66502-6355
US

IV. Provider business mailing address

6308 W 147TH ST
OVERLAND PARK KS
66223-2311
US

V. Phone/Fax

Practice location:
  • Phone: 785-510-3008
  • Fax:
Mailing address:
  • Phone: 913-304-1396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT03916-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: