=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154216844
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RELATABLE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2025
-----------------------------------------------------
Last Update Date | 06/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7570 W 21ST ST N STE 1006C
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67205-1773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-441-7825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10009 W CHARTWELL CIR
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67205-1571
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-441-7825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURA HODSON
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 620-441-7825
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------