| Healing Hearts Ranch | |
|
155 Se 1 Ave Great Bend KS 67530-9696 | |
| (620) 792-5173 | |
| (888) 389-9946 |
| Full Name | Healing Hearts Ranch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 155 Se 1 Ave, Great Bend, Kansas |
| Authorized Official Name and Position | Kelley Johnson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6207925173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Ranch 155 Se 1 Ave Great Bend KS 67530-9696 Ph: (620) 792-5173 | Healing Hearts Ranch 155 Se 1 Ave Great Bend KS 67530-9696 Ph: (620) 792-5173 |
| NPI Number | 1316464217 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316464217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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