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General NPI Number Information
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NPI Number | 1043859234
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Entity Type | Organization
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Legal Business Name | BEYOND THE REEF PSYCHOTHERAPY, P.A.
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Dates
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Enumeration Date | 01/05/2020
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 712 1ST TER STE 220F
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City | LANSING
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State | KS
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Zip | 66043-1715
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Country | US
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Telephone | 913-717-9906
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Fax | 310-507-0157
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Provider Business Mailing Address
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Address Line | 18162 STILLWELL RD
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City | LINWOOD
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State | KS
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Zip | 66052-4547
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Country | US
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Telephone | 619-517-5055
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Fax | 310-507-0157
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | SUSAN M. SCHLAG
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Credential | MS, LCMFT
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Telephone | 619-517-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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