Healthcare Provider Details

I. General information

NPI: 1285887927
Provider Name (Legal Business Name): ALMS AT HOPE AND LIFE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S MAIN ST
HUTCHINSON KS
67501-5306
US

IV. Provider business mailing address

400 S MAIN ST
HUTCHINSON KS
67501-5306
US

V. Phone/Fax

Practice location:
  • Phone: 620-663-5488
  • Fax:
Mailing address:
  • Phone: 620-663-5488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC 260
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 875
License Number StateKS

VIII. Authorized Official

Name: MR. STEVEN SHAWN NACHTIGAL
Title or Position: COUNSELOR
Credential: LCPC
Phone: 620-663-5488