Provider Demographics
NPI:1215326897
Name:ASA THERAPY LLC
Entity type:Organization
Organization Name:ASA THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SLAGLE-ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-776-5858
Mailing Address - Street 1:225 SOUTHWIND PLACE
Mailing Address - Street 2:
Mailing Address - City:MANHATTEN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3129
Mailing Address - Country:US
Mailing Address - Phone:785-776-5858
Mailing Address - Fax:785-776-6152
Practice Address - Street 1:225 SOUTHWIND PLACE
Practice Address - Street 2:
Practice Address - City:MANHATTEN
Practice Address - State:KS
Practice Address - Zip Code:66503-3129
Practice Address - Country:US
Practice Address - Phone:785-776-5858
Practice Address - Fax:785-776-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS40691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty