Provider Demographics
NPI:1386801306
Name:LIBBY & ASSOCIATES, INC
Entity type:Organization
Organization Name:LIBBY & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST, PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:913-221-4596
Mailing Address - Street 1:14409 REEDS ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-1229
Mailing Address - Country:US
Mailing Address - Phone:913-221-4596
Mailing Address - Fax:
Practice Address - Street 1:4745 W 136TH ST
Practice Address - Street 2:SUITE 40
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-5923
Practice Address - Country:US
Practice Address - Phone:913-221-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty