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General NPI Number Information
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NPI Number | 1730203811
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Entity Type | Organization
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Legal Business Name | THERAPY SERVICES LLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 420 KENNEDY ST
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City | BURLINGTON
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State | KS
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Zip | 66839-1120
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Country | US
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Telephone | 620-364-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 420 KENNEDY ST
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City | BURLINGTON
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State | KS
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Zip | 66839-1120
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Country | US
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Telephone | 620-364-2606
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR / OWNER
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Name | GAYLE M TAYLOR-FORD
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Credential | LSCSW, LCAC
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Telephone | 620-364-2606
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 06180761
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License Number State | KS
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