Healthcare Provider Details

I. General information

NPI: 1568865848
Provider Name (Legal Business Name): WHOLE SELF PSYCHOTHERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 W 110TH ST STE 460
OVERLAND PARK KS
66210-1450
US

IV. Provider business mailing address

18452 S RIDGEVIEW RD
OLATHE KS
66062-9229
US

V. Phone/Fax

Practice location:
  • Phone: 913-307-6407
  • Fax:
Mailing address:
  • Phone: 913-307-6407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LYNETTE MORSE
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential:
Phone: 913-307-6407