Provider Demographics
NPI:1700359569
Name:LIFESTYLE INSIGHT THERAPY, LLC
Entity Type:Organization
Organization Name:LIFESTYLE INSIGHT THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSCSW
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:ADAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-302-6776
Mailing Address - Street 1:15115 W 144TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6593
Mailing Address - Country:US
Mailing Address - Phone:913-302-6776
Mailing Address - Fax:
Practice Address - Street 1:8300 COLLEGE BLVD STE 320
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2814
Practice Address - Country:US
Practice Address - Phone:913-302-6776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty