| Psychotherapy Consultants, Inc | |
|
13626 W 95th St Lenexa KS 66215-3304 | |
| (913) 620-8111 | |
| (913) 541-8030 |
| Full Name | Psychotherapy Consultants, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 13626 W 95th St, Lenexa, Kansas |
| Authorized Official Name and Position | Susan Brooks-hart (OWNER) |
| Authorized Official Contact | 9136208111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Consultants, Inc 2813 W 51st St Westwood KS 66205-1748 Ph: (913) 620-8111 | Psychotherapy Consultants, Inc 13626 W 95th St Lenexa KS 66215-3304 Ph: (913) 620-8111 |
| NPI Number | 1275838351 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 1850570375 |
|---|---|
| Medicare Enrollment ID | O20110128000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275838351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1719 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1719 (Kansas) | Primary |
| Provider Name | Susan A Brooks Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114962750 PECOS PAC ID: 4385823806 Enrollment ID: I20110128000776 |
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