| Mac Associates Llc | |
|
13505 S Mur Len Rd Ste 105-216 Olathe KS 66062-1600 | |
| (913) 687-8244 | |
| Not Available |
| Full Name | Mac Associates Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13505 S Mur Len Rd Ste 105-216, Olathe, Kansas |
| Authorized Official Name and Position | M Graham Maccallum (OWNER) |
| Authorized Official Contact | 9136878244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mac Associates Llc 13505 S Mur Len Rd Ste 105-216 Olathe KS 66062-1600 Ph: (913) 687-8244 | Mac Associates Llc 13505 S Mur Len Rd Ste 105-216 Olathe KS 66062-1600 Ph: (913) 687-8244 |
| NPI Number | 1477284297 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 2062947377 |
|---|---|
| Medicare Enrollment ID | O20241123000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477284297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Malcolm Graham Maccallum |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265973432 PECOS PAC ID: 3971038282 Enrollment ID: I20241123000068 |
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