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General NPI Number Information
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NPI Number | 1841156361
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Entity Type | Organization
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Legal Business Name | WASHINGTON BROTHERS THERAPY
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 9111 N CLEVELAND AVE
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City | KANSAS CITY
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State | MO
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Zip | 64156-7929
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Country | US
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Telephone | 913-703-3896
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Fax |
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Provider Business Mailing Address
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Address Line | 9111 N CLEVELAND AVE
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City | KANSAS CITY
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State | MO
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Zip | 64156-7929
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Country | US
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Telephone | 913-703-3896
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MARCELLIS D WASHINGTON
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Credential | PHD, LMHC, LCPC, LPC
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Telephone | 785-220-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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