MEDICARE: IN HIS IMAGE CHRISTIAN COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	KS1646	KS

General Provider Information

NPI Number	:	1124435151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN HIS IMAGE CHRISTIAN COUNSELING, LLC

Provider Business Mailing Address
First Line	:	201 E LAUREL ST
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5538
Country	:	US
Telephone Number	:	620-272-9506
Fax Number	:	620-272-9833

Provider Business Practice Location Address
First Line	:	201 E LAUREL ST
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5538
Country	:	US
Telephone Number	:	620-272-9506
Fax Number	:	620-272-9833

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORK THERAPIST
Name	:	DORIS M. ARWINE
Credential	:	LSCSW
Telephone Number	:	620-272-9506

Provider Enumeration Date	:	07/22/2014
Last Update Date	:	07/22/2014

Similar Medicare Providers

1922038033 — MRS. DORIS M ARWINE LSCSW
Practice Location Address:

201 E LAUREL ST
GARDEN CITY, KS
67846-5538

Practice Phone: 620-272-9506
Practice Fax: 620-272-9833

1578040606 — AYRIKA WATSON LMSW
Practice Location Address:

201 E LAUREL ST
GARDEN CITY, KS
67846-5538

Practice Phone: 620-272-9506
Practice Fax: 620-272-9833

1407605652 — JORGE SALDANA LMSW
Practice Location Address:

201 E LAUREL ST
GARDEN CITY, KS
67846-5538

Practice Phone: 224-201-6861
Practice Fax:

1952147266 — ANOTHER LIGHT LLC
Practice Location Address:

201 E LAUREL ST
GARDEN CITY, KS
67846-5538

Practice Phone: 224-201-6861
Practice Fax:

1033211818 — HARRY ERNEST BROWN D.C.
Practice Location Address:

5538 OLIVE ST
KANSAS CITY, MO
64130-3519

Practice Phone: 816-363-7769
Practice Fax: 816-363-7769

1285897579 — DR. JEWEL PETERGAY JONES M.D.
Practice Location Address:

483 48TH AVE , #3B
LONG ISLAND CITY, NY
11109-5538

Practice Phone: 917-495-9829
Practice Fax:

Directions to “IN HIS IMAGE CHRISTIAN COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.