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General NPI Number Information
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NPI Number | 1588509707
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Entity Type | Organization
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Legal Business Name | WILLOW SPRING THERAPY, LLC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1917 E MARION RD
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City | WICHITA
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State | KS
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Zip | 67216-2251
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Country | US
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Telephone | 316-249-9746
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 E MARION RD
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City | WICHITA
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State | KS
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Zip | 67216-2251
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Country | US
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Telephone | 316-249-9746
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Fax |
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Authorized Official
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Title or Position | OWNER/ PEER SUPPORT SPECIALIST
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Name | ASHLEY DAWN WHITE
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Credential | KCPS26-0181
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Telephone | 316-249-9746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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