| Abella Psychotherapy & Consulting Llc | |
|
8889 Bourgade St Suite 110 Lenexa KS 66219-1403 | |
| (913) 296-0712 | |
| Not Available |
| Full Name | Abella Psychotherapy & Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8889 Bourgade St, Lenexa, Kansas |
| Authorized Official Name and Position | Michelle Eichman Abella (OWNER) |
| Authorized Official Contact | 9132960712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abella Psychotherapy & Consulting Llc 9614 Appleridge Ln Lenexa KS 66227-3305 Ph: (913) 296-0712 | Abella Psychotherapy & Consulting Llc 8889 Bourgade St Suite 110 Lenexa KS 66219-1403 Ph: (913) 296-0712 |
| NPI Number | 1043667066 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 4981998614 |
|---|---|
| Medicare Enrollment ID | O20160803001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043667066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP 1673 (Kansas) | Primary |
| Provider Name | Michelle E Abella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104015197 PECOS PAC ID: 6305985581 Enrollment ID: I20091201000349 |
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