| Phoenix Mental Health Llc | |
|
130 N Cherry St Ste 203 Olathe KS 66061-3460 | |
| (913) 378-4279 | |
| Not Available |
| Full Name | Phoenix Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 130 N Cherry St Ste 203, Olathe, Kansas |
| Authorized Official Name and Position | Elizabeth Berube (PMHNP) |
| Authorized Official Contact | 9134490944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Mental Health Llc 130 N Cherry St Ste 203 Olathe KS 66061-3460 Ph: (913) 378-4279 | Phoenix Mental Health Llc 130 N Cherry St Ste 203 Olathe KS 66061-3460 Ph: (913) 378-4279 |
| NPI Number | 1598696957 |
|---|---|
| Provider Enumeration Date | 05/26/2026 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598696957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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