Healthcare Provider Details
I. General information
NPI: 1225620362
Provider Name (Legal Business Name): CENTRAL KANSAS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2021
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 COMMERCE DR
HESSTON KS
67062-8938
US
IV. Provider business mailing address
114 COMMERCE DR
HESSTON KS
67062-8938
US
V. Phone/Fax
- Phone: 620-869-9986
- Fax: 620-869-9046
- Phone: 620-869-9986
- Fax: 620-869-9046
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARLIN
ROCHELLE
BUHRMAN
Title or Position: OWNER, THERAPIST
Credential: LCMFT
Phone: 620-869-9986