| Andover Family Counseling, Llc | |
|
149 S Andover Rd Ste 100 Andover KS 67002-7935 | |
| (316) 247-3063 | |
| Not Available |
| Full Name | Andover Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 149 S Andover Rd Ste 100, Andover, Kansas |
| Authorized Official Name and Position | Lindsay Sanner (OWNER) |
| Authorized Official Contact | 9139409621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andover Family Counseling, Llc Po Box 626 Andover KS 67002-0626 Ph: (316) 247-3063 | Andover Family Counseling, Llc 149 S Andover Rd Ste 100 Andover KS 67002-7935 Ph: (316) 247-3063 |
| NPI Number | 1952804171 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 6103180690 |
|---|---|
| Medicare Enrollment ID | O20180509001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952804171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsay Nicole Sanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962711242 PECOS PAC ID: 6901199900 Enrollment ID: I20160728001789 |
| Provider Name | Brice Sanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053967737 PECOS PAC ID: 6800249079 Enrollment ID: I20240124003623 |
| Provider Name | Brice Sanner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053967737 PECOS PAC ID: 6800249079 Enrollment ID: I20240131003531 |
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