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General NPI Number Information
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NPI Number | 1598627499
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Entity Type | Organization
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Legal Business Name | INNERBRIDGE PSYCHIATRY & THERAPY LLC
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5322 ALDEN ST
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City | SHAWNEE
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State | KS
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Zip | 66216-5150
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Country | US
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Telephone | 913-421-8422
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Fax | 913-421-8422
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Provider Business Mailing Address
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Address Line | 12641 ANTIOCH RD STE 1006
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1701
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Country | US
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Telephone | 913-421-8422
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Fax | 913-421-8423
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Authorized Official
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Title or Position | OWNER, PMHNP-BC
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Name | MRS. TRICIA KATHERINE EBERT
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Credential | APRN, PMHNP-BC
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Telephone | 913-444-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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