| Behavioral Health, Inc | |
|
6611 E Central Ave Ste C Wichita KS 67206-1937 | |
| (316) 648-1157 | |
| (866) 316-4467 |
| Full Name | Behavioral Health, Inc |
|---|---|
| Speciality | Counselor |
| Location | 6611 E Central Ave Ste C, Wichita, Kansas |
| Authorized Official Name and Position | Leelin T Day (OWNER) |
| Authorized Official Contact | 3168076196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health, Inc 6611 E Central Ave Ste C Wichita KS 67206-1937 Ph: (316) 807-6196 | Behavioral Health, Inc 6611 E Central Ave Ste C Wichita KS 67206-1937 Ph: (316) 648-1157 |
| NPI Number | 1225409204 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 8426368564 |
|---|---|
| Medicare Enrollment ID | O20151102002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225409204 | NPI | - | NPPES |
| 201251910A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4023 (Kansas) | Primary |
| Provider Name | Leelin Tayag Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023191004 PECOS PAC ID: 0547446726 Enrollment ID: I20110524000571 |
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