Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Therapy Institute Midwest

Organization Clinical Child & Adolescent Psychologist · NPI 1306872064

Family Therapy Institute Midwest is a Clinical Child & Adolescent Psychologist in Lawrence, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
Specialties on file
7

Practice location Address checks out

2619 W 6th St Ste C
Lawrence, KS 66049
Phone: (785) 830-8299
Fax: (785) 749-2581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 0894 (KS)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 1109 (KS)
Social Worker Taxonomy 104100000X · Licence 6890 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1740 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3569 (KS)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 74564 (KS)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 46111 (KS)

Record details

NPI number1306872064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Egidy — Owner · (785) 830-8299
NPI enumeratedJune 24, 2006
Last updated in NPPESNovember 7, 2016
Mailing address2619 W. 6th Street, Suite C, Lawrence, KS 66049

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