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General NPI Number Information
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NPI Number | 1629693049
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Entity Type | Organization
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Legal Business Name | EMPOWERED FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 8645 COLLEGE BLVD STE 125
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2034
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Country | US
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Telephone | 913-735-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 8645 COLLEGE BLVD STE 125
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2034
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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 | FAMILY THERAPIST
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Name | HOLLYN M SMITH
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Credential | MS, LMFT
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Telephone | 913-735-9465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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