| Integrated Clinical Services, LLC | |
|
2500 W 31st St Ste G Lawrence KS 66047-3051 | |
| (913) 961-4937 | |
| Not Available |
| Full Name | Integrated Clinical Services, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 2500 W 31st St Ste G, Lawrence, Kansas |
| Authorized Official Name and Position | Jamee Horton (OWNER/THERAPIST) |
| Authorized Official Contact | 9139614937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Clinical Services, LLC 2500 W 31st St Ste G Lawrence KS 66047-3051 Ph: (913) 961-4937 | Integrated Clinical Services, LLC 2500 W 31st St Ste G Lawrence KS 66047-3051 Ph: (913) 961-4937 |
| NPI Number | 1740842277 |
|---|---|
| Provider Enumeration Date | 07/04/2019 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Medicare PECOS PAC ID | 8426468000 |
|---|---|
| Medicare Enrollment ID | O20201110003380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740842277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 104100000X | Social Worker | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| Provider Name | Jamee Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639693591 PECOS PAC ID: 9335559913 Enrollment ID: I20201110003401 |
| Provider Name | Heather Marie Casey Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467146670 PECOS PAC ID: 8921573981 Enrollment ID: I20260407002181 |
| Provider Name | Carly Alexandria Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194241315 PECOS PAC ID: 4880160175 Enrollment ID: I20260415000541 |
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