| Compassionate Counseling Services, Llc | |
|
1807 E Mary St Ste 6 Garden City KS 67846-3877 | |
| (785) 477-0188 | |
| Not Available |
| Full Name | Compassionate Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1807 E Mary St Ste 6, Garden City, Kansas |
| Authorized Official Name and Position | Elyse Selzer (OUTPATIENT CLINICIAN) |
| Authorized Official Contact | 6203154073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Counseling Services, Llc 1807 E Mary St Ste 5 Garden City KS 67846-3877 Ph: (620) 315-4073 | Compassionate Counseling Services, Llc 1807 E Mary St Ste 6 Garden City KS 67846-3877 Ph: (785) 477-0188 |
| NPI Number | 1235748294 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 5294148813 |
|---|---|
| Medicare Enrollment ID | O20201228001854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235748294 | NPI | - | NPPES |
| 201313910A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elyse Selzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407183916 PECOS PAC ID: 0042580227 Enrollment ID: I20170720001716 |
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