Deliz Jivon Byrd, MS | |
3751 W Main St, Independence, KS 67301-8446 | |
(620) 331-1748 | |
Not Available |
Full Name | Deliz Jivon Byrd |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3751 W Main St, Independence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598933384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4596 (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 2374 (Kansas) | Primary |
Entity Name | Kanza Mental Health And Guidance Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619909181 PECOS PAC ID: 7810958998 Enrollment ID: O20041021000916 |
Mailing Address | Practice Location Address |
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Deliz Jivon Byrd, MS Po Box 688, Independence, KS 67301-0688 Ph: (620) 331-1748 | Deliz Jivon Byrd, MS 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748 |
Barbara Scofield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Mrs. Brenda Kay Lee Stoops, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1940 | |
Cyndie Reetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Richard Francis Failla, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1940 | |
Barbara Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Michel Starns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 West Main, Independence, KS 67301 Phone: 620-331-1748 | |
Matthew Lee Woodrum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1940 |