| Mrs Mallory Lynn Baum, LMFT | |
|
606 N. Mulberry, Derby, KS 67037 | |
| (316) 788-6464 | |
| (206) 299-1262 |
| Full Name | Mrs Mallory Lynn Baum |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 606 N. Mulberry, Derby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356598486 | NPI | - | NPPES |
| 200574520A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1054 (Kansas) | Primary |
| Entity Name | Amy Meek Family Therapy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780859165 PECOS PAC ID: 4385051689 Enrollment ID: O20210405000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mallory Lynn Baum, LMFT 1434 S Ellis St, Wichita, KS 67211-3527 Ph: (316) 204-1584 | Mrs Mallory Lynn Baum, LMFT 606 N. Mulberry, Derby, KS 67037 Ph: (316) 788-6464 |
Amy Meek, MS, LCMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 606 Mulberry Rd, Derby, KS 67037 Phone: 316-788-4335 Fax: 316-262-7202 | |
Randi Black, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1121 N College Park St Ste 200, Derby, KS 67037 Phone: 316-351-8517 Fax: 316-260-6494 | |
Shonda L Kooser, T-MFT 03519-T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1221 N Rock Rd, Derby, KS 67037 Phone: 316-789-8511 | |
Amber Harris, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1033 N Buckner St, 206, Derby, KS 67037 Phone: 316-789-8511 Fax: 316-789-8511 | |
Mrs. Cristinette Likiardopoulos, T-LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 215 E Madison Ave, Derby, KS 67037 Phone: 316-530-2963 | |
Cynthia S George, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1415 N Buckner St, Derby, KS 67037 Phone: 316-788-6464 |