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NPI Code Detail

MEDICARE: ACCEPTANCE BEING CENTER, LLC

MEDICARE: ACCEPTANCE BEING CENTER, LLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor07540072KS

General Provider Information

NPI Number : 1396002192
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCEPTANCE BEING CENTER, LLC
Provider Business Mailing Address
First Line : 9415 E HARRY ST STE 705
Second Line :
City : WICHITA
State : KS
Zip : 67207-5084
Country : US
Telephone Number : 316-558-5495
Fax Number :
Provider Business Practice Location Address
First Line : 9415 E HARRY ST STE 705
Second Line :
City : WICHITA
State : KS
Zip : 67207-5084
Country : US
Telephone Number : 316-558-5495
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. THOMAS RANDALL WEBB
Credential : MA,LAC
Telephone Number : 316-558-5495
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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Directions to “ACCEPTANCE BEING CENTER, LLC ” Practice Location

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