Healthcare Provider Details

I. General information

NPI: 1396652913
Provider Name (Legal Business Name): LIMBIC CARE KS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SW JACKSON ST STE 100
TOPEKA KS
66603-3757
US

IV. Provider business mailing address

700 SW JACKSON ST STE 100
TOPEKA KS
66603-3757
US

V. Phone/Fax

Practice location:
  • Phone: 912-361-2574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YAVAR MOGHIMI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 571-228-5031