| A Conscious Peace Llc | |
|
22450 S Harrison St Spring Hill KS 66083-3151 | |
| (913) 353-9020 | |
| Not Available |
| Full Name | A Conscious Peace Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22450 S Harrison St, Spring Hill, Kansas |
| Authorized Official Name and Position | Michael J Cannady (MANAGING EMPLOYEE) |
| Authorized Official Contact | 9133539020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Conscious Peace Llc 917 N Sumac St Olathe KS 66061-5976 Ph: (913) 353-9020 | A Conscious Peace Llc 22450 S Harrison St Spring Hill KS 66083-3151 Ph: (913) 353-9020 |
| NPI Number | 1669097036 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Medicare PECOS PAC ID | 0244652923 |
|---|---|
| Medicare Enrollment ID | O20200625002315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669097036 | NPI | - | NPPES |
| 4406 | Other | KS | KANSAS BEHAVIORAL SCIENCE REGULATORY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lisa D Cannady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427405117 PECOS PAC ID: 1557654720 Enrollment ID: I20160726000763 |
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