Born To Blossom Llc | |
2404 W 8th St Coffeyville KS 67337-2931 | |
(620) 330-9036 | |
(620) 206-2514 |
Full Name | Born To Blossom Llc |
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Speciality | Behavior Analyst |
Location | 2404 W 8th St, Coffeyville, Kansas |
Authorized Official Name and Position | Alexandria Heidebrecht (OWNER/CEO) |
Authorized Official Contact | 4175407259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Born To Blossom Llc 2404 W 8th St Coffeyville KS 67337-2931 Ph: (620) 330-9036 | Born To Blossom Llc 2404 W 8th St Coffeyville KS 67337-2931 Ph: (620) 330-9036 |
NPI Number | 1255066163 |
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Provider Enumeration Date | 07/24/2022 |
Last Update Date | 11/01/2022 |
Certification Date | 11/01/2022 |
Identifier | Type | State | Issuer |
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1255066163 | NPI | - | NPPES |
Olive Branches, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Maple St, Coffeyville, KS 67337 Phone: 620-515-1907 Fax: 620-222-9316 |