| Inspiring Change Counseling Services, Llc | |
|
1511 E Fulton Ter Ste 2 Garden City KS 67846-6165 | |
| (620) 287-8200 | |
| Not Available |
| Full Name | Inspiring Change Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1511 E Fulton Ter Ste 2, Garden City, Kansas |
| Authorized Official Name and Position | Laura Patrick (LSCSW) |
| Authorized Official Contact | 6202878200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring Change Counseling Services, Llc 1511 E Fulton Ter Ste 2 Garden City KS 67846-6165 Ph: (620) 287-8200 | Inspiring Change Counseling Services, Llc 1511 E Fulton Ter Ste 2 Garden City KS 67846-6165 Ph: (620) 287-8200 |
| NPI Number | 1821567934 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 9830437706 |
|---|---|
| Medicare Enrollment ID | O20190219002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821567934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura K Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134179864 PECOS PAC ID: 5092842898 Enrollment ID: I20100428000196 |
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