MEDICARE: SUNFLOWER PEDIATRIC BEHAVIORAL HEALTH, P.A.

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	2084P0804X	Child & Adolescent Psychiatry Physician
2	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1609691666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER PEDIATRIC BEHAVIORAL HEALTH, P.A.

Provider Business Mailing Address
First Line	:	25055 W VALLEY PKWY STE 220
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-8450
Country	:	US
Telephone Number	:	913-378-1061
Fax Number	:	913-904-1399

Provider Business Practice Location Address
First Line	:	25055 W VALLEY PKWY STE 220
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-8450
Country	:	US
Telephone Number	:	913-378-1061
Fax Number	:	913-904-1399

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	DR. EMILY WARNES
Credential	:	PH.D., ABPP
Telephone Number	:	913-378-1061

Provider Enumeration Date	:	11/15/2024
Last Update Date	:	11/15/2024

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