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General NPI Number Information
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NPI Number | 1609745678
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Entity Type | Individual
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Provider Name | KATHLEEN TAY REYNOLDS MS,PLPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8350 N SAINT CLAIR AVE STE 275
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City | KANSAS CITY
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State | MO
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Zip | 64151-5114
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Country | US
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Telephone | 913-257-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 HERITAGE PL
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City | JOHNSON CITY
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State | TN
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Zip | 37604-7771
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Country | US
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Telephone | 720-355-7783
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2025047069
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License Number State | MO
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