MEDICARE: REBECCA L CHEEK-KING LCP

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
1	101YM0800X	Mental Health Counselor	314	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104853472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L CHEEK-KING LCP

Provider Business Mailing Address
First Line	:	1201 WAKARUSA DR STE 201
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4722
Country	:	US
Telephone Number	:	785-856-0676
Fax Number	:	785-588-4608

Provider Business Practice Location Address
First Line	:	1201 WAKARUSA DR STE 201
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4722
Country	:	US
Telephone Number	:	785-856-0676
Fax Number	:	785-588-4608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/03/2023

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Directions to “ REBECCA L CHEEK-KING LCP” Practice Location

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