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General NPI Number Information
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NPI Number | 1659171536
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Entity Type | Organization
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Legal Business Name | SENTIENT SPACE LLC
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1600 GENESSEE ST STE 507
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City | KANSAS CITY
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State | MO
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Zip | 64102-1085
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Country | US
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Telephone | 816-287-8822
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 DIAMOND PKWY APT 6143
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City | KANSAS CITY
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State | MO
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Zip | 64116-4375
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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 | OWNER, THERAPIST
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Name | ARIES M WASHINGTON
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Credential | MA, LPC, SEP
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Telephone | 816-287-8822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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