| Counseling Avenues Llc | |
|
330 E Madison Ave Ste 207 Derby KS 67037-1736 | |
| (316) 206-3111 | |
| (316) 252-1336 |
| Full Name | Counseling Avenues Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 330 E Madison Ave Ste 207, Derby, Kansas |
| Authorized Official Name and Position | Richelle Stroup (OWNER/THERAPIST) |
| Authorized Official Contact | 3162500970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Avenues Llc 2800 N Forest Park St Derby KS 67037-7912 Ph: (316) 250-0970 | Counseling Avenues Llc 330 E Madison Ave Ste 207 Derby KS 67037-1736 Ph: (316) 206-3111 |
| NPI Number | 1811640063 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Certification Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811640063 | NPI | - | NPPES |
| C201151460 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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