| Marisa Dodge, | |
|
5001 College Blvd Ste 105, Leawood, KS 66211-1618 | |
| (913) 709-1810 | |
| Not Available |
| Full Name | Marisa Dodge |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 5001 College Blvd Ste 105, Leawood, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942069885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Wyandot Center For Community Behavioral Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629159389 PECOS PAC ID: 5496745325 Enrollment ID: O20051109000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Dodge, 5001 College Blvd Ste 105, Leawood, KS 66211-1618 Ph: () - | Marisa Dodge, 5001 College Blvd Ste 105, Leawood, KS 66211-1618 Ph: (913) 709-1810 |
Katelyn Kellie Frits, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 College Blvd Ste 207, Leawood, KS 66211 Phone: 913-292-4800 | |
Morgan Milligan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4901 W 136th St, Leawood, KS 66224 Phone: 913-488-2012 | |
Mrs. Sara T. Whelan, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 College Blvd Ste 201, Leawood, KS 66211 Phone: 913-295-9800 | |
Nicholas Lubeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5251 W 116th Pl Ste 200, Leawood, KS 66211 Phone: 913-735-0886 | |
Nicole Schafer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6700 W 121st St Ste 102, Leawood, KS 66209 Phone: 636-323-9098 | |
Mary Ann Altenbernd, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 State Line Rd, Suite435, Leawood, KS 66206 Phone: 913-907-7911 Fax: 913-221-0152 | |
Dr. Elise Marie Dicarlo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13104 Alhambra St, Leawood, KS 66209 Phone: 913-375-4900 |