| Patterns Behavioral Services Kansas | |
|
134 N 130th St Ste C Bonner Springs KS 66012-9001 | |
| (425) 977-9198 | |
| Not Available |
| Full Name | Patterns Behavioral Services Kansas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 134 N 130th St Ste C, Bonner Springs, Kansas |
| Authorized Official Name and Position | Ihab Shahawi (CEO) |
| Authorized Official Contact | 6574449002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterns Behavioral Services Kansas 19217 36th Ave W Ste 210 Lynnwood WA 98036-5751 Ph: (657) 444-9002 | Patterns Behavioral Services Kansas 134 N 130th St Ste C Bonner Springs KS 66012-9001 Ph: (425) 977-9198 |
| NPI Number | 1649748401 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649748401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Cristin Stice Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13829 Grove Ave, Bonner Springs, KS 66012 Phone: 913-205-2486 |