| Lifes Seasons Llc | |
|
307 Ridge St Ste 102 Tonganoxie KS 66086-9310 | |
| (913) 845-6122 | |
| Not Available |
| Full Name | Lifes Seasons Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 307 Ridge St Ste 102, Tonganoxie, Kansas |
| Authorized Official Name and Position | Danielle Medina (MEMBER) |
| Authorized Official Contact | 9138456122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifes Seasons Llc 307 Ridge St Ste 102 Tonganoxie KS 66086-9310 Ph: (913) 845-6122 | Lifes Seasons Llc 307 Ridge St Ste 102 Tonganoxie KS 66086-9310 Ph: (913) 845-6122 |
| NPI Number | 1073228532 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073228532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Tallgrass Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 E 4th St, Tonganoxie, KS 66086 Phone: 913-667-9553 |