Healthcare Provider Details

I. General information

NPI: 1306458799
Provider Name (Legal Business Name): VENTURE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 02/12/2025
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 GRIFFITH DR
MANHATTAN KS
66502-4437
US

IV. Provider business mailing address

630 HUMBOLDT ST STE 110
MANHATTEN KS
66502-6095
US

V. Phone/Fax

Practice location:
  • Phone: 785-806-0254
  • Fax:
Mailing address:
  • Phone: 785-799-5666
  • Fax: 785-396-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DAVID COOK
Title or Position: PRESIDENT
Credential: LMCSW
Phone: 785-706-9994