| A1 Counseling, Llc | |
|
1333 N Broadway Ave Ste E Wichita KS 67214-2894 | |
| (316) 201-1676 | |
| (316) 201-1762 |
| Full Name | A1 Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1333 N Broadway Ave, Wichita, Kansas |
| Authorized Official Name and Position | Larry L. Smith (OWNER) |
| Authorized Official Contact | 3166172987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A1 Counseling, Llc 1333 N Broadway Ave Ste E Wichita KS 67214-2894 Ph: (316) 201-1676 | A1 Counseling, Llc 1333 N Broadway Ave Ste E Wichita KS 67214-2894 Ph: (316) 201-1676 |
| NPI Number | 1861803074 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 0446564892 |
|---|---|
| Medicare Enrollment ID | O20150730010788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861803074 | NPI | - | NPPES |
| 200565510B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4190 (Kansas) | Primary |
| Provider Name | Larry L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841455748 PECOS PAC ID: 0840368759 Enrollment ID: I20081006000221 |
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