| Karuna Center Llc | |
|
841 1/2 Massachusetts St Ste D Lawrence KS 66044-2673 | |
| (786) 556-7599 | |
| Not Available |
| Full Name | Karuna Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 841 1/2 Massachusetts St Ste D, Lawrence, Kansas |
| Authorized Official Name and Position | Anissa R Pfannenstiel (MANAGER) |
| Authorized Official Contact | 7865567599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karuna Center Llc 841 1/2 Massachusetts St Ste D Lawrence KS 66044-2673 Ph: (786) 556-7599 | Karuna Center Llc 841 1/2 Massachusetts St Ste D Lawrence KS 66044-2673 Ph: (786) 556-7599 |
| NPI Number | 1730675232 |
|---|---|
| Provider Enumeration Date | 07/08/2018 |
| Last Update Date | 07/08/2018 |
| Medicare PECOS PAC ID | 3971903717 |
|---|---|
| Medicare Enrollment ID | O20210615002897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730675232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 9496 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4259 (Kansas) | Primary |
| Provider Name | Robin L Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235162496 PECOS PAC ID: 7012985815 Enrollment ID: I20040920000865 |
| Provider Name | Anissa R Pfannenstiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134305303 PECOS PAC ID: 8729167598 Enrollment ID: I20160323002364 |
| Provider Name | Tychelle S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104232875 PECOS PAC ID: 8022378389 Enrollment ID: I20180205002725 |
| Provider Name | Stephanie A Krom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336575232 PECOS PAC ID: 2860729688 Enrollment ID: I20190815003260 |
| Provider Name | Aliuwa Abali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720324791 PECOS PAC ID: 8628463593 Enrollment ID: I20220314000167 |
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