=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073492591
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EARLY EMOTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2025
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5312 OAKVIEW ST
-----------------------------------------------------
City | SHAWNEE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66216-5136
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-269-0122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4107 W 62ND ST
-----------------------------------------------------
City | FAIRWAY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66205-3205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-269-0122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, THERAPIST
-----------------------------------------------------
Name | ABBY THOMASON
-----------------------------------------------------
Credential | LSCSW
-----------------------------------------------------
Telephone | 913-269-0122
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------