| Labette Center For Mental Health Services Incorporated | |
|
1730 Belmont Ave Parsons KS 67357-4229 | |
| (620) 421-3770 | |
| Not Available |
| Full Name | Labette Center For Mental Health Services Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 1730 Belmont Ave, Parsons, Kansas |
| Authorized Official Name and Position | Matthew Atteberry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6204213770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labette Center For Mental Health Services Incorporated Po Box 258 Parsons KS 67357-0258 Ph: () - | Labette Center For Mental Health Services Incorporated 1730 Belmont Ave Parsons KS 67357-4229 Ph: (620) 421-3770 |
| NPI Number | 1770594756 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1254234073 |
|---|---|
| Medicare Enrollment ID | O20040129000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770594756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 029 (Kansas) | Primary |
| Provider Name | Kenneth Blaine Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043311293 PECOS PAC ID: 9032184551 Enrollment ID: I20040828000229 |
| Provider Name | Matthew L Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578636478 PECOS PAC ID: 3072557883 Enrollment ID: I20050613001174 |
| Provider Name | Elizabeth D Garton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306037429 PECOS PAC ID: 8628146545 Enrollment ID: I20081006000340 |
| Provider Name | Mark A Mikel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114153848 PECOS PAC ID: 9638222094 Enrollment ID: I20090803000016 |
| Provider Name | Jessica L Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427477967 PECOS PAC ID: 8527284959 Enrollment ID: I20140721002359 |
| Provider Name | Rebecca J Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891078952 PECOS PAC ID: 5698065175 Enrollment ID: I20160613001392 |
| Provider Name | Peter C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639529498 PECOS PAC ID: 4688965502 Enrollment ID: I20160624000298 |
| Provider Name | Alex Lee Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013462738 PECOS PAC ID: 1658659081 Enrollment ID: I20190115000291 |
| Provider Name | Jennifer R Schibi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528597010 PECOS PAC ID: 1456720663 Enrollment ID: I20221210000263 |
| Provider Name | Pheba Pappachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757179 PECOS PAC ID: 3173750130 Enrollment ID: I20230327001715 |
| Provider Name | Robert Queen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891258695 PECOS PAC ID: 1759736465 Enrollment ID: I20231016003485 |
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