Healthcare Provider Details

I. General information

NPI: 1225369085
Provider Name (Legal Business Name): REBECCA ESCHMANN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12351 W 96TH TER SUITE 300
LENEXA KS
66215-4409
US

IV. Provider business mailing address

12351 W 96TH TER SUITE 300
LENEXA KS
66215-4409
US

V. Phone/Fax

Practice location:
  • Phone: 913-894-0900
  • Fax: 913-894-0908
Mailing address:
  • Phone: 913-894-0900
  • Fax: 913-894-0908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7668
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: