| Mended Hearts Counseling, Llc | |
|
1005 N Buckeye Ave Abilene KS 67410-1940 | |
| (785) 341-7931 | |
| Not Available |
| Full Name | Mended Hearts Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1005 N Buckeye Ave, Abilene, Kansas |
| Authorized Official Name and Position | Debby Dimmitt (OWNER) |
| Authorized Official Contact | 7853417931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mended Hearts Counseling, Llc 202 Nw 10th St Apt 3 Abilene KS 67410-2307 Ph: (785) 341-7931 | Mended Hearts Counseling, Llc 1005 N Buckeye Ave Abilene KS 67410-1940 Ph: (785) 341-7931 |
| NPI Number | 1457898751 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Medicare PECOS PAC ID | 1759708605 |
|---|---|
| Medicare Enrollment ID | O20200824003287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457898751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4131 (Kansas) | Primary |
| Provider Name | Deborah D Ponton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053565481 PECOS PAC ID: 1052571288 Enrollment ID: I20120327000188 |
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