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NPI Code Detail

MEDICARE: AMY MEEK FAMILY THERAPY GROUP LLC

MEDICARE: AMY MEEK FAMILY THERAPY GROUP LLC
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 Therapist225KS

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 : 1780859165
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMY MEEK FAMILY THERAPY GROUP LLC
Provider Business Mailing Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 316-680-8267
Provider Business Practice Location Address
First Line : 1525 N BUCKNER ST
Second Line :
City : DERBY
State : KS
Zip : 67037-2948
Country : US
Telephone Number : 316-788-6464
Fax Number : 316-680-8267
Authorized Official
Title or Position : MANAGING EMPLOYEE
Name : AMY MEEK
Credential : LCMFT
Telephone Number : 316-788-6464
Provider Enumeration Date : 04/25/2008
Last Update Date : 12/14/2020

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Directions to “AMY MEEK FAMILY THERAPY GROUP LLC ” Practice Location

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