| Another Chance Therapy Services Llc | |
|
560 S Turquoise St Wichita KS 67209-1707 | |
| (937) 765-6790 | |
| Not Available |
| Full Name | Another Chance Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 560 S Turquoise St, Wichita, Kansas |
| Authorized Official Name and Position | Kathryn Cole (OWNER) |
| Authorized Official Contact | 9377656790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Chance Therapy Services Llc Po Box 75414 Wichita KS 67275-5414 Ph: (937) 765-6790 | Another Chance Therapy Services Llc 560 S Turquoise St Wichita KS 67209-1707 Ph: (937) 765-6790 |
| NPI Number | 1568177863 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 8022452218 |
|---|---|
| Medicare Enrollment ID | O20240215001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568177863 | NPI | - | NPPES |
| 0337296 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871857664 PECOS PAC ID: 0749513091 Enrollment ID: I20240306001997 |
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