| Aacf Therapy Center | |
|
719 Massachusetts St Suite 115 Lawrence KS 66044-2345 | |
| (785) 840-0374 | |
| (785) 842-4025 |
| Full Name | Aacf Therapy Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 719 Massachusetts St, Lawrence, Kansas |
| Authorized Official Name and Position | Kathy S Wright (DIRECTOR) |
| Authorized Official Contact | 7858400374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aacf Therapy Center 719 Massachusetts St Suite 115 Lawrence KS 66044-2345 Ph: (785) 840-0374 | Aacf Therapy Center 719 Massachusetts St Suite 115 Lawrence KS 66044-2345 Ph: (785) 840-0374 |
| NPI Number | 1295021590 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 08/05/2011 |
| Medicare PECOS PAC ID | 2365611209 |
|---|---|
| Medicare Enrollment ID | O20110809000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295021590 | NPI | - | NPPES |
| 200439620B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3796 (Kansas) | Primary |
| Provider Name | Katherine Sue Blevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851515340 PECOS PAC ID: 8628247574 Enrollment ID: I20110809000848 |
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