Healthcare Provider Details

I. General information

NPI: 1396667614
Provider Name (Legal Business Name): MILFORD HOUSE FAMILY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 W 110TH ST STE 410
OVERLAND PARK KS
66210-2307
US

IV. Provider business mailing address

6302 DARNELL ST
SHAWNEE KS
66216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 913-216-5807
  • Fax:
Mailing address:
  • Phone: 913-216-5807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAUL ROBERT MILLS
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: MS, LCMFT
Phone: 913-216-5807