Healthcare Provider Details

I. General information

NPI: 1932020161
Provider Name (Legal Business Name): SILK AND SAND STUDIOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8016 STATE LINE RD STE 115
PRAIRIE VILLAGE KS
66208-3727
US

IV. Provider business mailing address

8016 STATE LINE RD STE 115
PRAIRIE VILLAGE KS
66208-3727
US

V. Phone/Fax

Practice location:
  • Phone: 913-808-3942
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MCKENNA ELFRINK
Title or Position: THERAPIST
Credential: LPC
Phone: 913-808-3942