Healthcare Provider Details

I. General information

NPI: 1003316803
Provider Name (Legal Business Name): PSYCHSOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 MILITARY AVE
BAXTER SPRINGS KS
66713-2331
US

IV. Provider business mailing address

2908 MILITARY AVE
BAXTER SPRINGS KS
66713-2331
US

V. Phone/Fax

Practice location:
  • Phone: 620-240-9221
  • Fax:
Mailing address:
  • Phone: 620-240-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number76214
License Number StateKS

VIII. Authorized Official

Name: MICHELE D RICKMAN
Title or Position: NURSE PRACTITIONER/OWNER
Credential: APRN
Phone: 417-437-0036