| Brenda S Grow, Lcmft, Llc | |
|
1900 N Amidon Ave Ste 210 Wichita KS 67203-2137 | |
| (316) 573-7791 | |
| (316) 932-1556 |
| Full Name | Brenda S Grow, Lcmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1900 N Amidon Ave Ste 210, Wichita, Kansas |
| Authorized Official Name and Position | Brenda Grow (OWNER) |
| Authorized Official Contact | 3165737791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda S Grow, Lcmft, Llc 1900 N Amidon Ave Ste 210 Wichita KS 67203-2137 Ph: (316) 573-7791 | Brenda S Grow, Lcmft, Llc 1900 N Amidon Ave Ste 210 Wichita KS 67203-2137 Ph: (316) 573-7791 |
| NPI Number | 1326809427 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 4284076175 |
|---|---|
| Medicare Enrollment ID | O20240523001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326809427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Brenda S Grow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306192562 PECOS PAC ID: 5193167088 Enrollment ID: I20240523002471 |
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