| Kristin Wade Rose, | |
|
545 N Woodlawn St, Wichita, KS 67208-3645 | |
| (316) 260-6889 | |
| Not Available |
| Full Name | Kristin Wade Rose |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 545 N Woodlawn St, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982323101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 03405-T (Kansas) | Primary |
| Entity Name | Ict Therapyworks, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396102315 PECOS PAC ID: 6709176118 Enrollment ID: O20160526000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Wade Rose, 933 N Belmont Ave, Wichita, KS 67208-3425 Ph: () - | Kristin Wade Rose, 545 N Woodlawn St, Wichita, KS 67208-3645 Ph: (316) 260-6889 |
Morgan Carney, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 N Main St Ste 303, Wichita, KS 67202 Phone: 316-351-7644 Fax: 316-351-7689 | |
Lyndee Trease, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 W Douglas Ave Ste 555, Wichita, KS 67202 Phone: 317-867-4600 | |
Ms. Christina Marie Weber, L.C.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 641 S Hillside St, Wichita, KS 67211 Phone: 316-684-2422 Fax: 316-684-1210 | |
Ms. Brenda D. Harvey-smith, M.S., LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 303 N West St, #260, Wichita, KS 67203 Phone: 316-943-3399 Fax: 316-943-3399 | |
Miss Tara M. Lancelot, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7926 W 21st St N, Wichita, KS 67205 Phone: 316-272-5502 Fax: 316-830-4169 | |
Bonnie R Arredondo, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 654 N Woodchuck St Ste A, Wichita, KS 67212 Phone: 316-516-7269 | |
Kathryn Morgan, MS, LMFT-T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6700 W Central Ave, Wichita, KS 67212 Phone: 316-945-5200 |