| Aletheia Therapy Services Llc | |
|
1623 Poyntz Ave Manhattan KS 66502-4148 | |
| (785) 369-9105 | |
| (785) 310-2739 |
| Full Name | Aletheia Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1623 Poyntz Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Laura Marie Lyddon (OWNER) |
| Authorized Official Contact | 6204820315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aletheia Therapy Services Llc 1623 Poyntz Ave Manhattan KS 66502-4148 Ph: (785) 369-9105 | Aletheia Therapy Services Llc 1623 Poyntz Ave Manhattan KS 66502-4148 Ph: (785) 369-9105 |
| NPI Number | 1891400214 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 0941673958 |
|---|---|
| Medicare Enrollment ID | O20230222000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891400214 | NPI | - | NPPES |
| 201261370B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Lyddon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326600354 PECOS PAC ID: 0648664631 Enrollment ID: I20220309000736 |
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