TAG TREATMENT CENTER LLC (NPI# 1275011462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275011462 |
| Entity Type | Organization |
| Organization Name | TAG TREATMENT CENTER LLC |
| Other Organization Name | THERAPEUTIC ALLIANCE GROUP |
| Practice Address |
1999 N Amidon Ave Ste 335 Wichita KS 67203-2152 |
| Practice Telephone | 3167896073 |
| Mailing Telephone | 3167896073 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | ANA LIZA SCULLY-SKINNER (CEO) |
| Authorized Official Telephone | 8084998391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Therapeutic Alliance Group | Other Name - Individual/Organization |
| Street Address |
1999 N AMIDON AVE STE 335 |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919787 | Megan A. Wintz | Social Worker | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2020-10-14 |
| 1750852760 | Alexis Brianne Painter | Marriage & Family Therapist | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647264 | Wichita Therapy Stop | Marriage & Family Therapist | 530 N Ridge Rd Ste A, Wichita, KS 67212-6576 | 2020-10-21 |
| 1689272080 | Todd Michael Hook | Marriage & Family Therapist | 15903 E Rosewood St, Wichita, KS 67230-7607 | 2020-10-16 |
| 1023615853 | Gabrielle Jones | Marriage & Family Therapist | 825 N Waco Ave Ste 200, Wichita, KS 67203-3939 | 2020-10-05 |
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1861006769 | Sarah Lyon | Marriage & Family Therapist | 622 E Douglas Ave, Wichita, KS 67202-3504 | 2020-09-08 |
| 1639781750 | Breathelife Therapy That Heals LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 103, Wichita, KS 67212-2943 | 2020-08-19 |
| 1548872666 | The Therapy Place, LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 105, Wichita, KS 67212-2943 | 2020-08-19 |
| 1265043681 | Terry Lee Robey | Marriage & Family Therapist | 514 N Dodge Ave, Wichita, KS 67203-5905 | 2020-08-10 |
| 1508499633 | Ashley Therapy Solutions, LLC | Marriage & Family Therapist | 550 N 159th St E Ste 128, Wichita, KS 67230-7568 | 2020-02-17 |
| 1811527948 | Echo Edwards Wentz | Marriage & Family Therapist | 3121 N Cromwell Dr, Wichita, KS 67204-4445 | 2020-01-16 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.