| Behavioral Health Associates, Llc | |
|
5408 W 58th Ter Mission KS 66205-2856 | |
| (913) 381-4992 | |
| (913) 381-4971 |
| Full Name | Behavioral Health Associates, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5408 W 58th Ter, Mission, Kansas |
| Authorized Official Name and Position | Hope Suzanne Baier-cannon (OWNER) |
| Authorized Official Contact | 9133814992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Associates, Llc 5408 W 58th Ter Mission KS 66205-2856 Ph: (913) 381-4992 | Behavioral Health Associates, Llc 5408 W 58th Ter Mission KS 66205-2856 Ph: (913) 381-4992 |
| NPI Number | 1255519096 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/04/2008 |
| Medicare PECOS PAC ID | 3274612353 |
|---|---|
| Medicare Enrollment ID | O20080430000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255519096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2008 (Kansas) | Primary |
| Provider Name | Hope S Baier-cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164551818 PECOS PAC ID: 2567541642 Enrollment ID: I20080430000474 |
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