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NPI Code Detail

MEDICARE: HOPE HARBOR THERAPY LLC

MEDICARE: HOPE HARBOR THERAPY 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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245750272OTHERKSNPI 1
203031OTHERKSKANSAS BSRB

General Provider Information

NPI Number : 1881450286
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE HARBOR THERAPY LLC
Provider Business Mailing Address
First Line : 104 S 4TH ST STE 206
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-6957
Country : US
Telephone Number : 785-347-5036
Fax Number : 785-414-5458
Provider Business Practice Location Address
First Line : 104 S 4TH ST STE 206
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-6957
Country : US
Telephone Number : 785-347-5036
Fax Number : 785-414-5458
Authorized Official
Title or Position : OWNER AND THERAPIST
Name : LAURA SCHACHTNER HUTTER
Credential : LCMFT
Telephone Number : 785-347-5036
Provider Enumeration Date : 02/23/2024
Last Update Date : 02/23/2024

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Directions to “HOPE HARBOR THERAPY LLC ” Practice Location

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