Healthcare Provider Details

I. General information

NPI: 1750436606
Provider Name (Legal Business Name): CHARLENE ANN ANDERSON MS LMLP LCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E 7TH ST HIGH PLAINS MENTAL HEALTH CENTER
HAYS KS
67601
US

IV. Provider business mailing address

208 E 7TH ST HIGH PLAINS MENTAL HEALTH CENTER
HAYS KS
67601
US

V. Phone/Fax

Practice location:
  • Phone: 785-628-2871
  • Fax:
Mailing address:
  • Phone: 785-628-2871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLCP 243
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLMLP 0375
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: