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General NPI Number Information
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NPI Number | 1578448817
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Entity Type | Organization
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Legal Business Name | HOLDING NEW THERAPY LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 11924 W TAFT ST STE 105
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City | WICHITA
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State | KS
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Zip | 67209-1050
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Country | US
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Telephone | 316-302-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 11924 W TAFT ST STE 105
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City | WICHITA
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State | KS
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Zip | 67209-1050
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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 | CEO
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Name | RILEY BLANTON
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Credential | MS, LMFT
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Telephone | 316-302-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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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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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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