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NPI Code Detail

MEDICARE: TIMOTHY L COLE MS, LCMFT

MEDICARE:   TIMOTHY L COLE  MS, LCMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLCMFT805KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750511317
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY L COLE MS, LCMFT
Provider Business Mailing Address
First Line : 7500 W 160TH ST STE 100
Second Line :
City : STILWELL
State : KS
Zip : 66085-8100
Country : US
Telephone Number : 913-404-5232
Fax Number : 913-423-1230
Provider Business Practice Location Address
First Line : 7500 W 160TH ST STE 100
Second Line :
City : STILWELL
State : KS
Zip : 66085-8100
Country : US
Telephone Number : 913-404-5232
Fax Number : 913-423-1230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 04/03/2024

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Directions to “ TIMOTHY L COLE MS, LCMFT” Practice Location

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