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General NPI Number Information
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NPI Number | 1952804171
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Entity Type | Organization
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Legal Business Name | ANDOVER FAMILY COUNSELING, LLC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 149 S ANDOVER RD STE 100
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City | ANDOVER
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State | KS
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Zip | 67002-7935
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Country | US
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Telephone | 316-247-3063
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Fax |
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Provider Business Mailing Address
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Address Line | 149 S ANDOVER RD STE 100
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City | ANDOVER
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State | KS
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Zip | 67002-7935
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Country | US
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Telephone | 316-247-3063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY SANNER
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Credential | LSCSW, RPT
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Telephone | 913-940-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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