| Mindworx, Pa | |
|
501 Delaware St Ste 9 Leavenworth KS 66048-2664 | |
| (913) 489-7099 | |
| Not Available |
| Full Name | Mindworx, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 501 Delaware St Ste 9, Leavenworth, Kansas |
| Authorized Official Name and Position | Lisa Bozzoli (PRESIDENT) |
| Authorized Official Contact | 9134897099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindworx, Pa 1630 E Willow Dr Apt 120 Olathe KS 66062-1852 Ph: (913) 489-7099 | Mindworx, Pa 501 Delaware St Ste 9 Leavenworth KS 66048-2664 Ph: (913) 489-7099 |
| NPI Number | 1013471226 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013471226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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