| Amy Meek | |
|
1525 N Buckner St Derby KS 67037-2948 | |
| (316) 788-6464 | |
| (316) 680-8267 |
| Full Name | Amy Meek |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1525 N Buckner St, Derby, Kansas |
| Authorized Official Name and Position | Amy Meek (MANAGING EMPLOYEE) |
| Authorized Official Contact | 3167886464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Meek 1525 N Buckner St Derby KS 67037-2948 Ph: (316) 788-6464 | Amy Meek 1525 N Buckner St Derby KS 67037-2948 Ph: (316) 788-6464 |
| NPI Number | 1780859165 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 3971829235 |
|---|---|
| Medicare Enrollment ID | O20150303001968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780859165 | NPI | - | NPPES |
| 200429330A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 225 (Kansas) | Primary |
| Provider Name | Lana M Secrest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598750630 PECOS PAC ID: 3072839349 Enrollment ID: I20150303002360 |
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