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General NPI Number Information
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NPI Number | 1073455606
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Entity Type | Organization
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Legal Business Name | LAVENDER SKY THERAPY
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 330 POYNTZ AVE STE 273
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City | MANHATTAN
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State | KS
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Zip | 66502-8039
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Country | US
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Telephone | 785-655-8792
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HAYES DR
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City | MANHATTAN
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State | KS
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Zip | 66502-4920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN WANAMAKER
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Credential | LSCSW
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Telephone | 785-655-8762
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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 |
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License Number State |
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