Healthcare Provider Details

I. General information

NPI: 1932483583
Provider Name (Legal Business Name): ANECEA DAWN STAMBAUGH-GROTH LCMFT, LCAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114A S 7TH ST
SALINA KS
67401-2806
US

IV. Provider business mailing address

114A S 7TH ST
SALINA KS
67401-2806
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-2700
  • Fax:
Mailing address:
  • Phone: 785-827-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number865
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: