| Avenues For Change | |
|
809 S Patton Rd Great Bend KS 67530-4620 | |
| (620) 796-2206 | |
| (866) 288-1782 |
| Full Name | Avenues For Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 809 S Patton Rd, Great Bend, Kansas |
| Authorized Official Name and Position | Kelley Johnson (PRESIDENT) |
| Authorized Official Contact | 6207962206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenues For Change Po Box 1223 Great Bend KS 67530-1223 Ph: (620) 796-2206 | Avenues For Change 809 S Patton Rd Great Bend KS 67530-4620 Ph: (620) 796-2206 |
| NPI Number | 1114630076 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 04/14/2024 |
| Certification Date | 04/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114630076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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