| Counseling Associates Of Overland Park, Llc | |
|
12701 Metcalf Ave Ste 204 Overland Park KS 66213-2854 | |
| (913) 499-4300 | |
| Not Available |
| Full Name | Counseling Associates Of Overland Park, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12701 Metcalf Ave Ste 204, Overland Park, Kansas |
| Authorized Official Name and Position | Larry William Tyndall (MANAGING MEMBER) |
| Authorized Official Contact | 9134994300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Overland Park, Llc 15450 Iron Horse Cir Leawood KS 66224-3852 Ph: (913) 499-4300 | Counseling Associates Of Overland Park, Llc 12701 Metcalf Ave Ste 204 Overland Park KS 66213-2854 Ph: (913) 499-4300 |
| NPI Number | 1043378847 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/17/2024 |
| Certification Date | 03/17/2024 |
| Medicare PECOS PAC ID | 8325076557 |
|---|---|
| Medicare Enrollment ID | O20050729000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043378847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Larry W Tyndall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710971114 PECOS PAC ID: 1951339183 Enrollment ID: I20050803000715 |
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