| Southwest Guidance Center | |
|
333 W 15th St Liberal KS 67901-2455 | |
| (620) 624-8171 | |
| (620) 624-0114 |
| Full Name | Southwest Guidance Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 W 15th St, Liberal, Kansas |
| Authorized Official Name and Position | Leslie D Bissell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6206248171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Guidance Center Po Box 2945 Liberal KS 67905-2945 Ph: (620) 624-8171 | Southwest Guidance Center 333 W 15th St Liberal KS 67901-2455 Ph: (620) 624-8171 |
| NPI Number | 1801991203 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 12/18/2012 |
| Medicare PECOS PAC ID | 7214834639 |
|---|---|
| Medicare Enrollment ID | O20031215000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801991203 | NPI | - | NPPES |
| 100098060A | Medicaid | KS | |
| 100098060B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Jane Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639121247 PECOS PAC ID: 1951310515 Enrollment ID: I20060411000260 |
| Provider Name | Leslie D Bissell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720030018 PECOS PAC ID: 0840257960 Enrollment ID: I20090226000679 |
| Provider Name | Laurel A Lahita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995678 PECOS PAC ID: 0648402149 Enrollment ID: I20140416000957 |
| Provider Name | Jennifer M Helker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690496 PECOS PAC ID: 1759714314 Enrollment ID: I20191212000938 |
| Provider Name | Gina Roppa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720698236 PECOS PAC ID: 9234538547 Enrollment ID: I20210518002566 |
| Provider Name | Katelyn P Mcaree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962871673 PECOS PAC ID: 7315249646 Enrollment ID: I20210609002497 |
Cimarron Basin Community Corrections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Washington Ave, Liberal, KS 67901 Phone: 620-626-3284 | |
Sue Dowd Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Kansas Ave, Suite A104, Liberal, KS 67901 Phone: 620-624-2900 Fax: 620-624-4050 | |
Southwest Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W 15th St, Liberal, KS 67901 Phone: 620-624-8171 Fax: 620-624-0114 | |
Swmc Psychiatric Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6578 Fax: 620-629-2472 | |
Heartland's Hope Mental Health Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Kansas Ave Ste B, Liberal, KS 67901 Phone: 620-604-5111 Fax: 855-687-2518 | |
Southwest Medical Center Psychiatric Facility Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W 15th Street, Liberal, KS 67901 Phone: 620-624-1651 Fax: 620-629-2474 | |
Coffee Talk Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Plaza Dr Ste 7, Liberal, KS 67901 Phone: 575-708-0202 |