| Your Healthy Mind Llc | |
|
1421 E 2nd St N Wichita KS 67214-4119 | |
| (316) 239-8892 | |
| (833) 638-1779 |
| Full Name | Your Healthy Mind Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1421 E 2nd St N, Wichita, Kansas |
| Authorized Official Name and Position | Kenneth Mcnutt (OWNER) |
| Authorized Official Contact | 3162398892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Healthy Mind Llc 1421 E 2nd St N Wichita KS 67214-4119 Ph: (316) 239-8892 | Your Healthy Mind Llc 1421 E 2nd St N Wichita KS 67214-4119 Ph: (316) 239-8892 |
| NPI Number | 1821754094 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Medicare PECOS PAC ID | 9537559810 |
|---|---|
| Medicare Enrollment ID | O20211130001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821754094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth Mcnutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000653 PECOS PAC ID: 3577850510 Enrollment ID: I20160920000425 |
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