| Behavioral Guidance Center | |
|
400 N Woodlawn St Ste 30 Wichita KS 67208-4333 | |
| (316) 944-3940 | |
| (316) 946-0694 |
| Full Name | Behavioral Guidance Center |
|---|---|
| Speciality | Social Worker |
| Location | 400 N Woodlawn St Ste 30, Wichita, Kansas |
| Authorized Official Name and Position | Lorry A. Swayze (BILLING MGR.) |
| Authorized Official Contact | 3169443940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Guidance Center Po Box 17053 Wichita KS 67217-0053 Ph: (316) 944-3940 | Behavioral Guidance Center 400 N Woodlawn St Ste 30 Wichita KS 67208-4333 Ph: (316) 944-3940 |
| NPI Number | 1083089627 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089627 | NPI | - | NPPES |
| KA2805013 | Other | KS | MEDICARE # |
| 3789 | Other | KS | LICENSE |
| 200877570A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 3789 (Kansas) | Primary |
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