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General NPI Number Information
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NPI Number | 1750850723
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Entity Type | Organization
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Legal Business Name | SOMA RECOVERY LLC
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 825 N WACO AVE
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City | WICHITA
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State | KS
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Zip | 67203-3939
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Country | US
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Telephone | 316-201-6047
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Fax | 316-221-7157
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Provider Business Mailing Address
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Address Line | 825 N WACO AVE
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City | WICHITA
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State | KS
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Zip | 67203-3939
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Country | US
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Telephone | 316-201-6047
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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 | MS. JENNY HELMS
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Credential | LCMFT
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Telephone | 770-715-4772
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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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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 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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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #7
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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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