Freedom Behavioral Health Solutions, Llc | |
1133 College Ave Bld A., Ste A213 Manhattan KS 66502-2770 | |
(785) 775-0221 | |
(785) 775-0223 |
Full Name | Freedom Behavioral Health Solutions, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1133 College Ave Bld A., Ste A213, Manhattan, Kansas |
Authorized Official Name and Position | Kerry Clemetson (DIRECTOR) |
Authorized Official Contact | 9134757713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freedom Behavioral Health Solutions, Llc 1133 College Ave Ste A213 Manhattan KS 66502-2781 Ph: (785) 775-0221 | Freedom Behavioral Health Solutions, Llc 1133 College Ave Bld A., Ste A213 Manhattan KS 66502-2770 Ph: (785) 775-0221 |
NPI Number | 1245006493 |
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Provider Enumeration Date | 11/29/2023 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 3577909431 |
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Medicare Enrollment ID | O20240313003528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245006493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | David M Wichman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760695290 PECOS PAC ID: 2062585805 Enrollment ID: I20080726000094 |
Provider Name | Ethel Bitoh Akongnui |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174396923 PECOS PAC ID: 8628428976 Enrollment ID: I20231228001586 |
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