| Verge Kc Llc | |
|
4121 W 83rd St Ste 227 Prairie Village KS 66208-5323 | |
| (913) 270-2401 | |
| Not Available |
| Full Name | Verge Kc Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4121 W 83rd St Ste 227, Prairie Village, Kansas |
| Authorized Official Name and Position | Joy Durham (THERAPIST) |
| Authorized Official Contact | 9132702401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Verge Kc Llc 119 W Gregory Blvd Unit 8645 Kansas City MO 64114-1338 Ph: () - | Verge Kc Llc 4121 W 83rd St Ste 227 Prairie Village KS 66208-5323 Ph: (913) 270-2401 |
| NPI Number | 1780286757 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780286757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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