Provider Demographics
NPI:1376097246
Name:EXFT, LLC
Entity Type:Organization
Organization Name:EXFT, LLC
Other - Org Name:EXISTENTIAL FAMILY THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CROY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:913-730-6389
Mailing Address - Street 1:6750 ANTIOCH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1260
Mailing Address - Country:US
Mailing Address - Phone:913-730-6389
Mailing Address - Fax:913-397-6487
Practice Address - Street 1:6750 ANTIOCH RD STE 210
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-730-6389
Practice Address - Fax:913-397-6487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201142850AMedicaid