Callie Grantham, LPC, LAC | |
3901 Rainbow Blvd, Kansas City, KS 66160-8500 | |
(913) 945-7031 | |
(913) 588-8757 |
Full Name | Callie Grantham |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3901 Rainbow Blvd, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063924140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2012032164 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 2507 (Kansas) | Primary |
Entity Name | Kansas University Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Mailing Address | Practice Location Address |
---|---|
Callie Grantham, LPC, LAC 3901 Rainbow Blvd, Mailstop 4015/addictions, Kansas City, KS 66160 Ph: (913) 945-7031 | Callie Grantham, LPC, LAC 3901 Rainbow Blvd, Kansas City, KS 66160-8500 Ph: (913) 945-7031 |
Francisco Torres-gonzalez, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 N 5th St, Kansas City, KS 66101 Phone: 913-831-2820 Fax: 913-832-0262 | |
Kelsey Brush, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 W 43rd Ave, Kansas City, KS 66103 Phone: 913-708-8247 | |
Marvin Bowens Sr., LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 N 5th St, Kansas City, KS 66101 Phone: 913-342-0888 Fax: 913-342-2466 | |
Linda K Warner, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7924 Riverview Ave, Kansas City, KS 66112 Phone: 913-971-0600 | |
Kate Acton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2870 W 47th Ave, Kansas City, KS 66103 Phone: 913-725-0770 | |
Jeanne Bryant, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 757 Armstrong Ave, Kansas City, KS 66101 Phone: 913-226-5636 | |
Jennifer Dawdy, LSCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 Minnesota Ave Ste 208, Kansas City, KS 66101 Phone: 913-544-4877 |