| Addiction & Recovery Research Institute Llc | |
|
10 E 9th St Ste B Lawrence KS 66044-2600 | |
| (785) 840-8733 | |
| Not Available |
| Full Name | Addiction & Recovery Research Institute Llc |
|---|---|
| Speciality | Counselor |
| Location | 10 E 9th St Ste B, Lawrence, Kansas |
| Authorized Official Name and Position | Cody Robert Blevins (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7854244904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction & Recovery Research Institute Llc 10 E 9th St Ste B Lawrence KS 66044-2600 Ph: (785) 840-8733 | Addiction & Recovery Research Institute Llc 10 E 9th St Ste B Lawrence KS 66044-2600 Ph: (785) 840-8733 |
| NPI Number | 1457129876 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 0547601528 |
|---|---|
| Medicare Enrollment ID | O20240508000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457129876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 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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