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General NPI Number Information
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NPI Number | 1679406649
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Entity Type | Organization
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Legal Business Name | TABITHA WINTER LCPC, LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/14/2026
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Provider Practice Location Address
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Address Line | 9505 W CENTRAL AVE STE 110
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City | WICHITA
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State | KS
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Zip | 67212-3832
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Country | US
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Telephone | 316-208-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 12020 W 85TH ST N
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City | VALLEY CENTER
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State | KS
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Zip | 67147-9113
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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 | LICENSED CLINICAL PROFESSIONAL COUN
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Name | TABITHA WINTER
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Credential | LCPC
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Telephone | 316-208-9034
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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 |
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License Number State |
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