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General NPI Number Information
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NPI Number | 1043712912
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Entity Type | Organization
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Legal Business Name | CREATIVE BLISS THERAPY
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1646 E 2ND ST N STE 100
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City | WICHITA
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State | KS
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Zip | 67214-4129
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Country | US
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Telephone | 316-395-1030
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Fax | 316-330-6622
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Provider Business Mailing Address
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Address Line | 1646 E 2ND ST N STE 100
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City | WICHITA
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State | KS
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Zip | 67214-4129
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Country | US
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Telephone | 316-395-1030
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Fax | 316-330-6622
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Authorized Official
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Title or Position | PARTNER/THERAPIST
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Name | KATHERINE FRANCIS
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Credential | LCPC
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Telephone | 316-395-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4549
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3032
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License Number State | KS
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