Provider Demographics
NPI:1306622410
Name:EMOVERE THERAPY AND INTENSIVES, LLC
Entity type:Organization
Organization Name:EMOVERE THERAPY AND INTENSIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMFT, LMFT
Authorized Official - Phone:913-565-2131
Mailing Address - Street 1:205 S 5TH ST STE 22
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-2602
Mailing Address - Country:US
Mailing Address - Phone:913-565-2131
Mailing Address - Fax:913-225-7984
Practice Address - Street 1:205 S 5TH ST STE 22
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-2602
Practice Address - Country:US
Practice Address - Phone:913-565-2131
Practice Address - Fax:913-225-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty