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NPI Code Detail

MEDICARE: CENTER FOR COUNSELING AND CONSULTATION

MEDICARE: CENTER FOR COUNSELING AND CONSULTATION
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)004-06302011KS

Other Identifiers

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

General Provider Information

NPI Number : 1104862549
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR COUNSELING AND CONSULTATION
Provider Business Mailing Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Provider Business Practice Location Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Authorized Official
Title or Position : CLIN DIR
Name : DR. PATRICK W STANG
Credential : MD
Telephone Number : 620-792-2544
Provider Enumeration Date : 06/22/2006
Last Update Date : 05/06/2015

Similar Medicare Providers

1366445215 — MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-4323
1720019276 — MS. CYNTHIA MARIE STRECK APRN
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-7052
1508886946 — MRS. PATRICIA WILLENE MERMIS APRN
Practice Location Address:
5815 BROADWAY
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-2544
1336254556 — MR. KENNETH ROMAINE HASS M.A., AAPS, LPC
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-2544
1366520611 — THE CENTER FOR COUNSELING AND CONSULTATION
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-7052
1447378427 — MISS HOPE D SLACK LMSW
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
Practice Phone: 620-792-2544
Practice Fax: 620-792-7052

Directions to “CENTER FOR COUNSELING AND CONSULTATION ” Practice Location

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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.

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