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NPI Code Detail

MEDICARE: WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE

MEDICARE: WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency1492141032KS

General Provider Information

NPI Number : 1053485771
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 1301 N 47TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 N 47TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1705
Country : US
Telephone Number : 913-287-0007
Fax Number :
Authorized Official
Title or Position : MD
Name : LEESON CLAY MICHAEL
Credential :
Telephone Number : 913-287-0007
Provider Enumeration Date : 11/17/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1629159389 — WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.
Practice Location Address:
1301 N 47TH ST
KANSAS CITY, KS
66102-1705
Practice Phone: 913-287-0007
Practice Fax: 913-233-3350
1326015017 — NAOMI KAPLAN CSW
Practice Location Address:
1301 N 47TH ST
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66102-1705
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Practice Fax: 913-233-3350
1063586121 — MS. ANN MAUREEN KEARY RN
Practice Location Address:
1301 N 47TH ST
KANSAS CITY, KS
66102-1705
Practice Phone: 913-287-0007
Practice Fax: 913-287-0354
1689748741 — MS. DEBRA KAY ISHMAEL RN
Practice Location Address:
1301 N 47TH ST
KANSAS CITY, KS
66102-1705
Practice Phone: 913-287-0007
Practice Fax: 913-287-0354
1750458105 — DIANNA MICHELLE STENZEL LPC
Practice Location Address:
1301 N 47TH ST
KANSAS CITY, KS
66102-1705
Practice Phone: 913-563-6500
Practice Fax: 913-428-4603
1265590673 — KRISTIAN ELIZABETH SHANLINE MSW
Practice Location Address:
1301 N 47TH ST
KANSAS CITY, KS
66102-1705
Practice Phone: 913-328-4698
Practice Fax: 913-328-4603

Directions to “WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.