| Journeys Therapeutic Services Llc | |
|
2611 Sw 17th Topeka KS 66604-2603 | |
| (785) 383-8920 | |
| Not Available |
| Full Name | Journeys Therapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2611 Sw 17th, Topeka, Kansas |
| Authorized Official Name and Position | Jennifer Ann Porrino (OWNER) |
| Authorized Official Contact | 7853838920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeys Therapeutic Services Llc 3224 Sw Stone Ave Topeka KS 66614-2824 Ph: (785) 383-8920 | Journeys Therapeutic Services Llc 2611 Sw 17th Topeka KS 66604-2603 Ph: (785) 383-8920 |
| NPI Number | 1811586027 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Medicare PECOS PAC ID | 8820403827 |
|---|---|
| Medicare Enrollment ID | O20210225002405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811586027 | NPI | - | NPPES |
| 200878930 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ann Porrino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366700296 PECOS PAC ID: 8426301557 Enrollment ID: I20181019000175 |
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